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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDOLPH W HEATH, PA-C

Active Sole Proprietor

RANDOLPH W HEATH, PA-C is a Medical Physician Assistant healthcare provider located in ST AUGUSTINE, Florida. NPI 1306981378 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · ST AUGUSTINE, FL

Registration Details

NPI Number
1306981378
Provider Type
Individual
Gender
Male
NPI Issued
Feb 20, 2007 (19.521039866126 yrs)
Last Updated
Jun 17, 2019
License
PA2170 (FL)
Sole Proprietor
Yes

Practice Information

Address
120 HEALTH PARK BLVD STE 1
ST AUGUSTINE, FL, 320865798
Browse FL providers · Browse ZIP 32086
Phone
9048233401
Fax
9048298649
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in ST AUGUSTINE, FL

Name Credential NPI
MR. EUGENE KINNALY P.A. 1457323834
JAMES MCNAMARA PA 1093761959
PHILLIP ALEX WIMPELBERG PA 1871686352
MRS. BROOKE MICHELLE PERUSSINA PA C 1700921020
MR. DAVID ROBERT SKAGGS 1316268311
ALEJANDRO NAVARRO PA-C 1962719492
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.