RANDOLPH DIABETES AND WELLNESS LLC

Adult Medicine Physician

NPI: 1609378991Organization

Specialties, Licenses & Credentials

Adult Medicine PhysicianPrimary

Family Medicine — Adult Medicine

Code: 207QA0505X

Health Service Clinic/Center

Clinic/Center — Health Service

Code: 261QH0100X

Adult Health Nurse Practitioner

Nurse Practitioner — Adult Health

Code: 363LA2200X

ARNP9318390(FL)

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Contact & Hours

Address: 13047 W LINEBAUGH AVE STE 102
TAMPA, FL 33626
Phone: (813) 475-6542

Quick Facts

NPI: 1609378991
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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