Individual
JOHN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 209-8856
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 209-8856
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9384754
FL
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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