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Search › Florida › 363AS0400X

Randall Mathis, PA-C

NPI 1922055391 · on the registry since 2006

Practice

Address
100 Whetstone Pl
Ste 310
St Augustine, FL 32086
Phone
(904) 217-7450
Fax
(904) 217-7483
Organisation at this address
Old City Health
Omar Medical Pllc
Anastasia Pediatrics
Shakira Husain Md Pa
Scott D Mcdowall Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363A00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-04-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida