Organization Name: | RANDOLPH MEDICAL PRACTICES PA |
NPI Number: | 1144320052 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY LOU KREWSON (ADMINISTRATOR) |
Mailing Address: | 348 Ne Methodist Ter Suite 103 Lake City |
State: | FL US |
Postal Code: | 320553400 |
Phone Number: | 3867551440 |
Fax Number: | 3867585628 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 02/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | ME51982 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |