LISA RANKIN MD PA NPI 1124292867

NPI Information

  • NPI: 1124292867
  • Provider Name: LISA RANKIN MD PA
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: COASTAL INTEGRATIVE MEDICINE
  • Address: 499 NW PRIMA VISTA BLVD
    SUITE 105
    PORT ST LUCIE, FL
    ZIP 34983
  • Phone: (772) 344-1409

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NPI Details

LISA RANKIN MD PA is a family medicine in Port St Lucie, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LISA RANKIN MD PA NPI is 1124292867. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coastal Integrative Medicine.

The provider's business location address is:

499 NW PRIMA VISTA BLVD
SUITE 105
PORT ST LUCIE, FL
ZIP 34983-786
Phone: (772) 344-1409
Fax: (772) 344-9441

The provider's authorized official is Lisa M Rankin .
The authorized official title is Owner/agent and has the following contact phone number (772) 344-1409.

The enumeration date for this NPI number is 4/14/2008 and was last updated on 1/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME0074325FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K5157MEDICARE PINFLORIDA
2253926800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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