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

Individual provider Medical Physician Assistant · NPI 1306981378

Randolph W Heath, PA-C is a Medical Physician Assistant in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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

120 Health Park Blvd Ste 1
St Augustine, FL 32086-5798
Phone: (904) 823-3401
Fax: (904) 829-8649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2170 (FL)

Record details

NPI number1306981378
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 20, 2007
Last updated in NPPESJune 17, 2019

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