Healthcare Provider Details

I. General information

NPI: 1447535992
Provider Name (Legal Business Name): REBECCA B RANKIN CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. REBECCA L BURGGRABE

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 10/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 S ORANGE AVE
ORLANDO FL
32806-6125
US

IV. Provider business mailing address

13058 SUNKISS LOOP
WINDERMERE FL
34786-3157
US

V. Phone/Fax

Practice location:
  • Phone: 407-852-3360
  • Fax: 407-852-3301
Mailing address:
  • Phone: 407-697-0066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ5629
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: