THESALEE NICOLA RANDON M.D. NPI 1194811158

NPI Information

NPI: 1194811158
Provider Name: THESALEE NICOLA RANDON, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Address:
5955 POUCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
Phone: (305) 661-1515
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Thesalee Nicola Randon, M.D. is a pediatric emergency medicine pediatrics in Coral Gables, FL. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Thesalee Nicola Randon, M.D. NPI is 1194811158. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5955 POUCE DE LEON BLVD.
CORAL GABLES, FL
ZIP 33146
Phone: (305) 661-1515
Fax: (305) 662-3723

The enumeration date for this NPI number is 10/5/2006 and was last updated on 4/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0204X	Pediatrics	Pediatric Emergency Medicine	MD036205	DISTRICT OF COLUMBIA	No
2	208000000X	Pediatrics		064250	GEORGIA	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	ME117952	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003119777A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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