OrganizationActive
Lisa Rankin MD PA
NPI 1124292867 · Family Medicine Physician · Port St Lucie, FL
Provider details
- NPI number
- 1124292867
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Rankin, Owner/Agent(772) 344-1409
- License
- ME0074325 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
499 Nw Prima Vista Blvd
Suite 105
Port St Lucie, FL 34983-8786
Phone: (772) 344-1409
Fax: (772) 344-9441
Street-level locationGet directions
Mailing address
499 Nw Prima Vista Blvd
Port St Lucie, FL 34983-8786
Other names (DBA / former)
- Doing business as
- Coastal Integrative Medicine
Registry dates
- Enumerated
- 2008-04-14
- Last updated
- 2012-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.