Healthcare Provider Details

I. General information

NPI: 1225666381
Provider Name (Legal Business Name): ROHIT RANGROO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13020 FORT KING RD STE 107
DADE CITY FL
33525-5222
US

IV. Provider business mailing address

13100 FORT KING RD
DADE CITY FL
33525-5294
US

V. Phone/Fax

Practice location:
  • Phone: 352-458-4658
  • Fax: 352-437-5974
Mailing address:
  • Phone: 908-392-5143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME164546
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME164546
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME164546
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: