Provider Demographics
NPI:1538966759
Name:GASKINS, DARIUS DESHAWN
Entity type:Individual
Prefix:
First Name:DARIUS
Middle Name:DESHAWN
Last Name:GASKINS
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 1:1157 CLAY ST
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-9310
Mailing Address - Country:US
Mailing Address - Phone:702-373-3139
Mailing Address - Fax:
Practice Address - Street 1:1305 N ORANGE AVE STE 118
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-2553
Practice Address - Country:US
Practice Address - Phone:904-531-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy