OrganizationActive
Cleveland W Randolph, Jr, MD, PA
NPI 1497808182 · Specialist · Jacksonville Beach, FL
Provider details
- NPI number
- 1497808182
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Victoria Galler, Practice Administrator(904) 249-3743
- License
- ME0042493 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1891 Beach Blvd Ste 200
Jacksonville Beach, FL 32250-2644
Phone: (904) 249-3743
Fax: (904) 249-2047
Approximate (ZIP-level) locationGet directions
Mailing address
1891 Beach Blvd Ste 200
Jacksonville Beach, FL 32250-2644
Other names (DBA / former)
- Doing business as
- Dr. Randolph'S Ageless & Wellness Medical Center
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.