Organization
RODNEY E POWELL MD PA
Active
Organization
RODNEY E POWELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN OEST (OFFICE MANAGER)
(850) 862-6934
Entity
Organization
Contact information
Practice address
965 MAR WALT DR, FORT WALTON BEACH, FL 32547-6759
(850) 862-6934
Mailing address
965 MAR WALT DR, FORT WALTON BEACH, FL 32547-6759
(850) 862-6934
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0038630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821063959
INDIVIDUAL NPI
FL
Enumeration date
06/28/2006
Last updated
07/20/2010
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