Individual
JONATHAN DARSEY RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
5145 DEER PARK DR, NEW PORT RICHEY, FL 34653-7013
(727) 848-1417
(727) 847-7526
Mailing address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-8454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019524
NY
Other
Enumeration date
10/28/2009
Last updated
06/28/2016
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