Coastal Integrative Medicine

LBN: Lisa Rankin Md Pa
Coastal Integrative Medicine is an health care organization with primary practice located at 499 Nw Prima Vista Blvd Suite 105, Port St Lucie FL 34983-8786. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lisa Rankin Md Pa can be contacted via phone (772) 344-1409, or through Rankin, Lisa M via phone (772) 344-1409.

Contact Information

Primary practice address
499 Nw Prima Vista Blvd Suite 105 Port St Lucie FL 34983-8786
Phone: (772) 344-1409
Fax: (772) 344-9441
Website:
Map and Directions
Authorized official contact:
Name: Rankin, Lisa M M.D., P.A.
Phone: (772) 344-1409

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0074325 Florida

Profile Details

NPI number 1124292867
LBN Legal business name Lisa Rankin Md Pa
DBA Doing business as Coastal Integrative Medicine
Authorized official Rankin, Lisa M M.D., P.A.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated Jan 24th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124292867 NPPES
Florida MEDICAID 253926800

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