Individual
MR. ROBERTO COWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1470 NW 107TH AVE, SUITE F, DORAL, FL 33172-2744
(786) 515-7800
(305) 594-0088
Mailing address
10835 SW 112TH AVE APT 116, MIAMI, FL 33176-3230
(305) 546-3392
(305) 273-4648
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 9264572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003260200
—
FL
Enumeration date
10/07/2010
Last updated
10/31/2011
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