Individual provider · Type 1 NPI

Randall Panckeri

Contractor · Port St. Lucie, FL

NPI number 1467084533 Active

Practice location

10245 SW Village Pkwy Apt 304
Port St. Lucie, FL 34987-2365

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000XNone listed
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1467084533

Randall Panckeri's National Provider Identifier is 1467084533, issued on Feb 6, 2020. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Feb 6, 2020.