Provider Demographics
NPI:1437682069
Name:RAWLINS, HALEY
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 KIWANIS CIR
Mailing Address - Street 2:
Mailing Address - City:CHULUOTA
Mailing Address - State:FL
Mailing Address - Zip Code:32766-9637
Mailing Address - Country:US
Mailing Address - Phone:407-749-9361
Mailing Address - Fax:
Practice Address - Street 1:336 KIWANIS CIR
Practice Address - Street 2:
Practice Address - City:CHULUOTA
Practice Address - State:FL
Practice Address - Zip Code:32766-9637
Practice Address - Country:US
Practice Address - Phone:407-749-9361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program