=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427032291
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVOCATE MEDICAL SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/05/2005
-----------------------------------------------------
Last Update Date | 08/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5912 BRECKENRIDGE PKWY STE G
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33610-4200
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-280-6543
-----------------------------------------------------
Fax | 877-426-7329
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1055 WESTGATE DR STE 100
-----------------------------------------------------
City | SAINT PAUL
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55114-1451
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-280-8632
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DARRELL DOUGLAS RAWLINGS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 612-895-7815
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 1312723
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------