Provider Demographics
NPI:1861474132
Name:RAWLINGS, JEFFREY M (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:M
Last Name:RAWLINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2452 MAHAN DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-5373
Mailing Address - Country:US
Mailing Address - Phone:850-877-2126
Mailing Address - Fax:850-878-5190
Practice Address - Street 1:2452 MAHAN DR
Practice Address - Street 2:SUITE 101
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5373
Practice Address - Country:US
Practice Address - Phone:850-877-2126
Practice Address - Fax:850-878-5190
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2016-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME83584208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL05897OtherBCBS OF FLORIDA
FL264377400Medicaid
FL264377400Medicaid
FL05897XMedicare PIN