Individual
MR. DWAYNE SCOTT OWENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3629 E FORGE RD, DAVIE, FL 33328-2617
(954) 370-7522
Mailing address
3629 E FORGE RD, DAVIE, FL 33328-2617
(954) 370-7522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL0937
FL
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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