Individual
CARMELITA PATRICE ROWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 SOUTEL DR, JACKSONVILLE, FL 32208
(904) 613-6725
Mailing address
2255 SOUTEL DR, JACKSONVILLE, FL 32208-2179
(904) 613-6725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CL1188772
FL
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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