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NPI Code Detail

MEDICARE: KRISTA WARE RANKIN MD

MEDICARE: KRISTA WARE RANKIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician054928GA
2207Q00000XFamily Medicine PhysicianME94999FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568434496
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA WARE RANKIN MD
Provider Business Mailing Address
First Line : PO BOX 15349
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32317-5349
Country : US
Telephone Number : 850-383-3382
Fax Number :
Provider Business Practice Location Address
First Line : 1264 METROPOLITAN BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-2536
Country : US
Telephone Number : 850-383-3382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2006
Last Update Date : 05/20/2021

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