Individual
DR. VAN G RANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
09221980
Contact information
Practice address
3840 BROADWAY, FORT MYERS, FL 33901-8108
(239) 275-6400
(239) 275-0178
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIAL DEPARTMENT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME37410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068158000
—
FL
01
—
P00663689
RR MEDICARE
FL
Enumeration date
10/27/2006
Last updated
05/02/2011
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