Thesalee Nicola Randon
M.D. | Pediatric Emergency Medicine | Female
Thesalee Nicola Randon, M.D. is a Coral Gables, Florida based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Thesalee Nicola Randon is
5955 Pouce De Leon Blvd., Coral Gables, Florida - 33146. She can be contacted on phone at
305-661-1515 and fax number 305-662-3723.
Thesalee Nicola Randon is a sole proprietor of her business.
NPI number (Unique professional ID) for Thesalee Nicola Randon is
1194811158 which was assigned by NPPES on 05 Oct, 2006 and it was last updated on 14 Apr, 2014.
Thesalee Nicola Randon license number is
ME117952 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Florida.
Thesalee Nicola Randon has special qualifications to manage emergencies in infants and children.
Complete Profile:
Thesalee Nicola Randon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Thesalee Nicola Randon |
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| Credential : | M.D. |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Thesalee Nicola Randon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5955 Pouce De Leon Blvd.
Coral Gables, FL, 33146
United States |
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| Phone Number : | 305-661-1515 |
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| Fax Number : | 305-662-3723 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194811158 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Oct, 2006 |
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| Last Updated On : | 14 Apr, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thesalee Nicola Randon are as mentioned. Primary taxonomy code for Thesalee Nicola Randon, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | MD036205 | DC |
| 208000000X | Pediatrics | No | 064250 | GA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | ME117952 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Thesalee Nicola Randon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 003119777A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5955 Pouce De Leon Blvd.
Coral Gables, FL, 33146
United States |
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| Phone Number : | 305-661-1515 |
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| Fax Number : | 305-662-3723 |
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Business Location:
Patients can refer following map for directions to
Thesalee Nicola Randon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.