Randall T Mathis in St Augustine - Surgical
Randall T Mathis - NPI 1922055391
Randall T Mathis is a Surgical in St Augustine, Florida. Randall T Mathis practices all healthcare services and medical treatments related to Surgical. The NPI Number for Randall T Mathis is 1922055391. The last update date is 2012-04-16.
Randall T Mathis's current location address is Po Box 3123, St Augustine, Florida. You can contact this provider via phone number 9042177450 and fax number 9042177483. The mailing address for Randall T Mathis is Po Box 3123, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randall T Mathis |
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Address | Po Box 3123, St Augustine, Florida |
Phone Number | 9042177450 |
Fax Number | 9042177483 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1922055391 |
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Provider Enumeration Date | 2006-05-30 |
Last Updated Date | 2012-04-16 |
Provider Mailing Address Detail
Address | Po Box 3123 |
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City | St Augustine |
State | Florida (FL) |
Post Code | 320853123 |
Phone Number | 9042177450 |
Fax Number | 9042177483 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA9101202 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4707900 | FL | -- | |
Y04HB | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall T Mathis by the Centers for Medicare & Medicaid Services?
The Randall T Mathis has been issued the NPI (National Provider Identifier) 1922055391, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Randall T Mathis is physically located?
The Randall T Mathis is physically situated at the following address: Po Box 3123, St Augustine, FL, 320853123.
What is Randall T Mathis's area of expertise and its corresponding taxonomy classification?
The Randall T Mathis's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
When did Randall T Mathis receive its 1922055391 assignment?
The Randall T Mathis was assigned its 1922055391 on 2006-05-30, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Randall T Mathis most recently updated or revised?
The details related to Randall T Mathis, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-16.