Tommy Lavaughn Randolph in Lake City - Family Medicine
Tommy Lavaughn Randolph - NPI 1992805881
Tommy Lavaughn Randolph is a Family Medicine in Lake City, Florida. Tommy Lavaughn Randolph practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tommy Lavaughn Randolph is 1992805881. The last update date is 2014-01-03.
Tommy Lavaughn Randolph's current location address is 1847 Sw Barnett Way, Lake City, Florida. You can contact this provider via phone number 3867551440 and fax number 3867585628. The mailing address for Tommy Lavaughn Randolph is 1847 Sw Barnett Way, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tommy Lavaughn Randolph |
|---|---|
| Address | 1847 Sw Barnett Way, Lake City, Florida |
| Phone Number | 3867551440 |
| Fax Number | 3867585628 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1992805881 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2014-01-03 |
Provider Mailing Address Detail
| Address | 1847 Sw Barnett Way |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320256957 |
| Phone Number | 3867551440 |
| Fax Number | 3867585628 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME46235 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12070 | FL | BCBS | |
| 80154675 | FL | RRMEDICARE | |
| 30335 | FL | AVMED | |
| 1992805881 | FL | NPI | |
| 41374700 | FL | -- | |
| 4055514 | FL | AETNA |
Post Comment/ Review Below
What is the Tommy Lavaughn Randolph's 1992805881?
The Tommy Lavaughn Randolph's NPI (National Provider Identifier) Number is 1992805881. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Tommy Lavaughn Randolph is located?
The Tommy Lavaughn Randolph is situated at the following address: 1847 Sw Barnett Way, Lake City, FL, 320256957.
What is Tommy Lavaughn Randolph's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tommy Lavaughn Randolph is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did Tommy Lavaughn Randolph receive its 1992805881 assignment from the Centers for Medicare & Medicaid Services?
The Tommy Lavaughn Randolph was assigned its 1992805881 on 2006-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tommy Lavaughn Randolph, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tommy Lavaughn Randolph, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-01-03.