Dr. Gwendolynn Delores Johnson Randall is a Vero Beach, Florida based nurse anesthetist with 30 years of experience as Anesthesia Administration. She completed she graduation in 1995. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Gwendolynn Delores Johnson Randall is APRN3034802 for Anesthesia Administration in Florida. Her current practice location is 1000 36th St, Vero Beach. Patients can reach her at 772-776-9621 or can fax her at 772-778-3494. Dr. Gwendolynn Delores Johnson Randall is CRNA, PHD,APRN with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1184676975. Dr. Gwendolynn Delores Johnson Randall is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Dr. Gwendolynn Delores Johnson Randall speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA, PHD,APRN
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1995
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
1000 36th St, Vero Beach, Florida, 32960-4862
Phone:
772-776-9621
Fax:
772-778-3494
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5597660811
Enrollment ID:
I20040626000051
NPI Number:
1184676975
NPI Enumeration Date:
17 May, 2006
NPI Last Update On:
15 May, 2024
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gwendolynn Delores Johnson Randall are as mentioned below.
License Number
Specialization
State
Status
APRN3034802
Anesthesia Administration
Florida
Primary
17249
Anesthesia Administration
Tennessee
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Gwendolynn Delores Johnson Randall has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orange County Anesthesia Associates, Llc (3274957998)
7
American Anesthesiology Of Tennessee Pc (9931001922)
494
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gwendolynn Delores Johnson Randall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
G3421
Other
Florida
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
104 Suffolk Dr, Royal Palm Beach, Florida
Zip:
33411-8262
Phone Number:
561-628-1930
Fax Number:
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Patients can reach Dr. Gwendolynn Delores Johnson Randall at 1000 36th St, Vero Beach, Florida or can call to book an appointment on 772-776-9621.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.