Individual provider · NPI-1

Sara Jo Randolph, RN, CNOR, CRNFA

Registered Nurse, Registered Nurse First Assistant · Ocala, FL

NPI number1184705659

StatusActive

Last updated in NPPESJul 8, 2007

Details

NPI: 1184705659
Entity type: Individual (NPI-1)
Name: Mrs. Sara Jo Randolph
Credential: RN, CNOR, CRNFA
Sex: Female
Sole proprietor: No
Enumeration date: Oct 18, 2006
Last updated: Jul 8, 2007

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WR0006X	Registered Nurse, Registered Nurse First Assistant	86312-2	FL	Yes

Practice location

2300 Se 17th St
Suite 500
Ocala, FL 34471-9107

Phone 352-867-0444 · Fax 352-867-5522

Mailing address

2300 Se 17th St
Suite 500
Ocala, FL 34471-9107

Phone 352-867-0444 · Fax 352-867-5522

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