Alissa, Rana

Alissa, Rana is an individual health care provider with primary practice located at 820 Prudential Dr Howard Bldg, Suite 614, Jacksonville FL 32207-8210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Alissa, Rana can be contacted via phone (904) 202-4212.

Contact Information

Primary practice address
820 Prudential Dr Howard Bldg, Suite 614 Jacksonville FL 32207-8210
Phone: (904) 202-4212
Fax: (904) 202-4219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TRN14670 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME116456 Florida

Profile Details

NPI number 1356669063
LBN Legal business name Alissa, Rana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2010
Last updated Dec 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356669063 NPPES
Georgia MEDICAID 003137176A
Georgia MEDICAID 009409900
Georgia Other 14RF1

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