Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cleveland W Randolph Jr., MD

Individual provider Specialist · NPI 1124014287

Cleveland W Randolph Jr., MD is an Obstetrics/Gynecology in Jacksonville Beach, Florida. Qualified in 1982, 44 years ago. Practices with Cleveland W. Randolph, Jr, MD, PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
44
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1891 Beach Blvd Ste 200
Jacksonville Beach, FL 32250-2644
Phone: (904) 249-3743
Fax: (904) 249-2047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME42493 (FL)

Record details

NPI number1124014287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 23, 2005
Last updated in NPPESAugust 18, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Cleveland W. Randolph, Jr, Md, Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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