Randolph Diabetes and Wellness LLC
Randolph Diabetes and Wellness LLC is an Adult Medicine Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2018.
- Licensed in
- FL
- In the registry since
- 2018
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13047 W Linebaugh Ave Ste 102Tampa, FL 33626-4487
Phone: (813) 475-6542
Fax: (813) 475-6874
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X |
|---|---|
| Health Service Clinic/Center | Taxonomy 261QH0100X |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence ARNP9318390 (FL) |
Record details
| NPI number | 1609378991 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Randolph — Owner/Manager · (813) 846-7698 |
| NPI enumerated | March 2, 2018 |
| Last updated in NPPES | May 12, 2021 |
| Certification date | May 12, 2021 |
| Mailing address | 13047 W Linebaugh Ave Ste 102, Tampa, FL 33626-4487 |
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