Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Randolph Barret Mahoney, PA-C, PHD

Individual provider Physician Assistant · NPI 1669464236

Dr. Randolph Barret Mahoney, PA-C, PHD is a Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1541 Riverside Ave
Jacksonville, FL 32204-4124
Phone: (904) 354-4488
Fax: (904) 634-8912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 9101713 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 9101713 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA 9101713 (FL)

Record details

NPI number1669464236
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , PHD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESNovember 14, 2007

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