Healthcare Provider Details

I. General information

NPI: 1770286783
Provider Name (Legal Business Name): JUSTINE MARIE RANSDELL MD, MSPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1096
US

IV. Provider business mailing address

90 EDGEWATER DR APT 907
CORAL GABLES FL
33133-6919
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6000
  • Fax:
Mailing address:
  • Phone: 207-350-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number37739
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: