MATTHEW RANDOLPH

GAINESVILLE, FL
NPI1437408887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  ARNP9315572)
Additional Taxonomies163W00000X Registered Nurse
(Licence: FL  RN9315572)
Enumeration Date2012-08-31
Last Update Date2017-10-16
Business Address
-- MATTHEW RANDOLPH
529 NW 60TH ST
GAINESVILLE, FL 32607-2008
Phone number: 352-331-5100
Mailing Address
-- MATTHEW RANDOLPH
1502 W NC HIGHWAY 54 STE 103
DURHAM, NC 27707-5572
Phone number: 919-354-0840