Provider Demographics
NPI:1205305034
Name:RAWLINS, DUANE A
Entity type:Individual
Prefix:
First Name:DUANE
Middle Name:A
Last Name:RAWLINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 421071
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34742-1071
Mailing Address - Country:US
Mailing Address - Phone:352-871-4613
Mailing Address - Fax:
Practice Address - Street 1:4311 BAY VISTA DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-6053
Practice Address - Country:US
Practice Address - Phone:352-871-4613
Practice Address - Fax:407-870-1925
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-22
Last Update Date:2018-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health