Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME111885 | FL |
NPI | 1013146505 |
---|---|
Provider Name | Dr. Rawan Kablawi |
First Address | Durham, NC 27705-2508 |
Second Address | Coral Springs, FL 33065-4108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2009 |
Last Update Date | 31/07/2012 |