Stanley D Rowicki Md Pa | |
800 Prudential Dr Jacksonville FL 32207-8202 | |
(904) 343-8982 | |
(904) 281-9806 |
Full Name | Stanley D Rowicki Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 800 Prudential Dr, Jacksonville, Florida |
Authorized Official Name and Position | Stanley D Rowicki (PRESIDENT) |
Authorized Official Contact | 9043438982 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stanley D Rowicki Md Pa 4521 Atlantic Blvd Suite C Jacksonville FL 32207-1137 Ph: (904) 343-8982 | Stanley D Rowicki Md Pa 800 Prudential Dr Jacksonville FL 32207-8202 Ph: (904) 343-8982 |
NPI Number | 1841505492 |
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Provider Enumeration Date | 08/06/2010 |
Last Update Date | 05/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841505492 | NPI | - | NPPES |
000431700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME74890 (Florida) | Primary |
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