Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sisouk Rattanachane

Individual provider Case Manager/Care Coordinator · NPI 1568823284

Sisouk Rattanachane is a Case Manager/Care Coordinator in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

1501 83rd Ave N
St Petersburg, FL 33702-2851
Phone: (727) 579-1641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (FL)

Record details

NPI number1568823284
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 8, 2016
Last updated in NPPESMarch 8, 2016
Mailing address1501 83rd Ave N, St Petersburg, FL 33702-2851

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