Dr. Randall S Anselmo, MD
Family Medicine in St Augustine, Florida
1417024936- Practice location
- 130 Health Park Blvd, St Augustine, FL 32086-5776
- Phone
- 904-826-3469
- Fax
- 904-808-4608
- Last updated
- February 6, 2024
Randall Scott Anselmo is a Family Medicine based in St Augustine, FL. Randall Scott Anselmo practices in St Augustine, FL and has the professional credentials of MD. The NPI Number for Randall Scott Anselmo is 1417024936 and holds a License No. 042-0010651 (VT). The current practice location address for Randall Scott Anselmo is 130 Health Park Blvd, St Augustine, FL 32086-5776 and can be reached out via phone at 904-826-3469 and via fax at 904-808-4608.
Provider Profile Details
- NPI Number
- 1417024936
- Provider Name
- Randall Scott Anselmo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 130 Health Park Blvd, St Augustine, FL 32086-5776
- Phone Number
- 904-826-3469
- Fax Number
- 904-808-4608
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 29, 2006
- Last Update Date
- February 6, 2024
- Certification Date
- February 6, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Health Park Blvd
St Augustine, FL 32086-5776 - City
- St Augustine
- State
- Florida
- Zip
- 32086-5776
- Phone Number
- 904-826-3469
- Fax Number
- 904-808-4608
Provider Business Mailing Address Details
- Address
- 417 Marsh Point Cir
St Augustine, FL 32080-5865 - City
- St Augustine
- State
- FL
- Zip
- 32080-5865
- Phone Number
- 802-375-4005
- Fax Number
- 802-491-8231
License Information
- License Number
- 042-0010651
- License State
- VT
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near St Augustine, FL
View all Family Medicine providers in St Augustine →Frequently Asked Questions
What is the NPI number of Dr. Randall S Anselmo, MD?
The NPI number of Dr. Randall S Anselmo, MD is 1417024936. It was assigned on November 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Randall S Anselmo, MD?
Dr. Randall S Anselmo, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 042-0010651.
Where does Dr. Randall S Anselmo, MD practice?
The practice location is 130 Health Park Blvd, St Augustine, FL 32086-5776. The office can be reached at 904-826-3469 (phone) or 904-808-4608 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417024936 directly on the NPPES registry website.