Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Randall B Fulford, PA-C

Individual provider Physician Assistant · NPI 1295795896

Randall B Fulford, PA-C is a Physician Assistant in Fernandina Beach, Florida. Licensed in Florida and Georgia. Registered with an NPI since 2006.

Licensed in
FL, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

96279 Brady Point Rd
Fernandina Beach, FL 32034-7076
Phone: (904) 321-0088
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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 PA3183 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 004674 (GA)

Record details

NPI number1295795896
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 27, 2006
Last updated in NPPESFebruary 1, 2017

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