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Organization
STANLEY D ROWICKI MD PA
Active
Organization
STANLEY D ROWICKI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY D ROWICKI MD (PRESIDENT)
(904) 343-8982
Entity
Organization
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 343-8982
(904) 281-9806
Mailing address
4521 ATLANTIC BLVD, SUITE C, JACKSONVILLE, FL 32207-1137
(904) 343-8982
(904) 281-9806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME74890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000431700
—
FL
Enumeration date
08/06/2010
Last updated
05/11/2012
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