Leslie Randolph-Moss, MPAS, PA-C

Individual Active
NPI 1730283862
Medical Physician Assistant Jacksonville, FL

NPI 1730283862 belongs to Leslie Randolph-Moss, MPAS, PA-C, a medical physician assistant with a practice location in Jacksonville, FL. The NPI was issued on September 11, 2006, and the record was last updated in NPPES on October 18, 2023. The record lists 2 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA9113425 (FL)
Physician Assistant 363A00000X 1061708 (KS)

Practice locations

4600 Middleton Park Cir E Apt D250
Jacksonville, FL 32224-4684
Phone: (090) 461-0339
9501 Farrell Rd
Fort Belvoir, VA 22060-5901
Phone: (571) 231-1018

Local context

Active NPPES records list 183 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 71 of them within 10 miles.

The same primary taxonomy is listed by 2,877 in Florida and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Leslie Angelette Randolph-Moss
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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