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ANDREW J. RANDOLPH MD PA
NPI 1720381833
Internal Medicine in Deland, FL

Active since December 10, 2010CLIA 10D0945453 · Waiver
1025 N STONE ST STE B, DELAND, FL 32720(386) 734-4453 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew J. Randolph Md Pa NPPES

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

ANDREW J. RANDOLPH MD PA (NPI 1720381833) is a healthcare organization registered as an internal medicine in Deland, Florida and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Andrew J Randolph, President, as its authorized official.

NPPES Registry Identity

NPI1720381833
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameANDREW J. RANDOLPH MD PA
Location Address1025 N STONE ST STE BDeland, FL 32720-0803
Mailing Address1025 N Stone St Ste BDeland, FL 32720-0803
Phone(386) 734-4453
Organization SubpartNo
Authorized OfficialAndrew J RandolphPresident · (386) 734-4453
Enumeration DateDecember 10, 2010
✔ NPI 1720381833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1025 N STONE ST STE B, Deland, FL 32720
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Other Identifiers 1

Medicare UPINC67408FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0945453

Andrew J Randolph MD PA · Deland, FL
Active · expires May 3, 2028
CLIA Number10D0945453
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorAndrew J. Randolph
Laboratory Phone(904) 734-4453
Laboratory LocationAndrew J Randolph MD PA1025 N Stone Street, Deland, FL 32720
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew J. Randolph MD PA's NPI number?

The NPI number for Andrew J. Randolph MD PA is 1720381833. It was assigned to this organization in the NPPES registry on December 10, 2010.

Where is Andrew J. Randolph MD PA located?

Andrew J. Randolph MD PA is located at 1025 N Stone St Ste B, Deland, FL 32720. The listed phone number is (386) 734-4453.

What is Andrew J. Randolph MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Andrew J. Randolph MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0945453) is associated with this NPI, valid through May 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Andrew J. Randolph MD PA was last updated on December 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.