Provider Demographics
NPI:1114803723
Name:RANKE, URSULA VERONICA (ITDS)
Entity type:Individual
Prefix:
First Name:URSULA
Middle Name:VERONICA
Last Name:RANKE
Suffix:
Gender:F
Credentials:ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14995 FAVERSHAM CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4110
Mailing Address - Country:US
Mailing Address - Phone:321-978-3424
Mailing Address - Fax:
Practice Address - Street 1:2309 WHISPERING MAPLE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6706
Practice Address - Country:US
Practice Address - Phone:689-204-9439
Practice Address - Fax:914-455-0158
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist