THESALEE NICOLA RANDON M.D. - NPI 1194811158 - Pediatrics in Coral Gables, FL

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

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About Thesalee Nicola Randon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THESALEE NICOLA RANDON M.D. (NPI 1194811158) is an individual pediatric emergency medicine provider in Coral Gables, Florida, licensed in Florida (ME117952) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1194811158

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameTHESALEE NICOLA RANDONCredential: M.D.

Location Address5955 POUCE DE LEON BLVD.Coral Gables, FL 33146

Mailing Address5955 Pouce De Leon Blvd.Coral Gables, FL 33146 · (305) 661-1515 · Fax (305) 662-3723

Phone(305) 661-1515

Fax(305) 662-3723

Sole ProprietorYes

Enumeration DateOctober 5, 2006

Last NPPES UpdateApril 14, 2014

✔ NPI 1194811158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

Licenses✔ Licensed in FL · ME117952✔ Licensed in DC · MD036205

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 064250 (GA)

5955 POUCE DE LEON BLVD., Coral Gables, FL 33146

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Other Identifiers 1

Medicaid003119777AGA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROLANDO E. SUAREZ ARNP

Nurse Practitioner (Neonatal)

5955 POUCE DE LEON BLVD.
CORAL GABLES, FL 33146

Miami-Dade County (305) 662-8668

Frequently Asked Questions

What is Thesalee Randon's NPI number?

The NPI number assigned to this healthcare provider is 1194811158, enumerated as an "individual" on October 05, 2006.

Where is the provider located?

The provider is located at 5955 POUCE DE LEON BLVD. CORAL GABLES, FL 33146 and the phone number is (305) 661-1515.

What is the provider's specialty?

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

What insurance does Thesalee Randon accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.