Individual
BESSIE RAWLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
215 N 3RD ST, LEESBURG, FL 34748
(352) 315-7422
(352) 360-6582
Mailing address
PO BOX 491000, LEESBURG, FL 34749-1000
(352) 315-7537
(352) 315-7587
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750626100
—
FL
Enumeration date
04/05/2006
Last updated
07/03/2018
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