Ranells, Judith
Ranells, Judith is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd , Tampa FL 33612-4742. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ranells, Judith can be contacted via phone (813) 974-2583.Contact Information
Primary practice address
12901 Bruce B Downs Blvd
Tampa FL 33612-4742
Phone: (813) 974-2583
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | ME54506 | Florida |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME54506 | Florida |
Profile Details
NPI number | 1285644278 |
---|---|
LBN Legal business name | Ranells, Judith |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Oct 19th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285644278 | NPPES |
Florida | Other | 07961 | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 049662600 | BLUE CROSS BLUE SHIELD |
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