MEDICARE: MRS. SARA ELIZABETH RANDALL-MACDONNELL ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	ARNP9203482	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225293764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARA ELIZABETH RANDALL-MACDONNELL ARNP

Provider Business Mailing Address
First Line	:	3334 CAPITAL MEDICAL BLVD
Second Line	:	SUITE 400
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8405
Country	:	US
Telephone Number	:	850-877-8174
Fax Number	:	850-877-5636

Provider Business Practice Location Address
First Line	:	6265 OLD WATER OAK RD UNIT 105
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-4155
Country	:	US
Telephone Number	:	850-270-9070
Fax Number	:	850-320-6035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	01/14/2026

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Directions to “ MRS. SARA ELIZABETH RANDALL-MACDONNELL ARNP” Practice Location

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