| Doctor Name: | RANAE S BERRY |
| NPI Number: | 1033192349 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA9103545 |
| Business Practice Address: | 401 Nw 42nd Ave Plantation, FL - 333172835 |
| Business Phone Number: | 9545875010 |
| Business Fax Number: | |
| Mailing Address: | 18167 Us Highway 19 N, Suite650 CLEARWATER |
| State: | FL |
| Postal Code: | 337643528 |
| Phone Number: | 7275073624 |
| Fax Number: | 7275300147 |
| NPI Enumeration Date: | 11/22/2005 |
| NPI Last Update Date: | 07/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9103545 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |