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Dr. Tommy Lavaughn Randolph, MD
Family Medicine Physician in Lake City, Florida
NPI 1992805881

Tommy Lavaughn Randolph is a Family Medicine Physician based in Lake City, FL. Tommy Lavaughn Randolph practices in Lake City, FL and has the professional credentials of MD. The NPI Number for Tommy Lavaughn Randolph is 1992805881 and holds a License No. ME46235 (Florida).

The current practice location address for Tommy Lavaughn Randolph is 1847 Sw Barnett Way, Lake City, FL and can be reached out via phone at 386-755-1440 and via fax at 386-758-5628.

Location: 1847 Sw Barnett Way, Lake City, FL, 32025-6957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992805881
Provider Name
Tommy Lavaughn Randolph
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1847 Sw Barnett Way, Lake City, FL, 32025-6957
Phone Number
386-755-1440
Fax Number
386-758-5628
Provider Enumeration Date
09/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12070 01 FL BCBS
080154675 01 FL RRMEDICARE
030335 01 FL AVMED
1992805881 01 FL NPI
041374700 05 FL
0004055514 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
1847 Sw Barnett Way
City
Lake City
State
Florida
Zip
32025-6957
Phone Number
386-755-1440
Fax Number
386-758-5628
person
Provider Business Mailing Address Details
Address
1847 Sw Barnett Way
City
Lake City
State
Florida
Zip
32025-6957
Phone Number
386-755-1440
Fax Number
386-758-5628
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME46235 (Florida)
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 is not limited by age, sex, organ system, or disease entity.
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