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RANDELL ALEXANDER MD NPI 1558361469


NPI Information

NPI: 1558361469
Provider Name: RANDELL ALEXANDER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1650 PRUDENTIAL DR
SUITE 100
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 633-0190
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Randell Alexander, MD is a pediatrics in Jacksonville, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Randell Alexander, MD NPI is 1558361469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1650 PRUDENTIAL DR
SUITE 100
JACKSONVILLE, FL
ZIP 32207-147
Phone: (904) 633-0190
Fax: (904) 633-0191

The enumeration date for this NPI number is 7/21/2005 and was last updated on 9/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics045690GEORGIANo
2208000000XPediatricsME91394FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
137BBFKXMEDICARE ID-TYPE UNSPECIFIED
2A02452MEDICARE UPIN

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: 4/28/2024

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