| Doctor Name: | MRS. CONSUELO RANNINGER |
| NPI Number: | 1053660415 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.R.N.P. |
| License Number: | 9169991 |
| Business Practice Address: | 315 E. Olympia Avenue Suite 111-112-223 Punta Gorda, FL - 33950 |
| Business Phone Number: | 9412052600 |
| Business Fax Number: | 9412052601 |
| Mailing Address: | 3434 Hancock Bridge Pkwy, N FT MYERS |
| State: | FL |
| Postal Code: | 339037094 |
| Phone Number: | 8778563774 |
| Fax Number: | 2395992625 |
| NPI Enumeration Date: | 08/31/2012 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9169991 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |