Individual
RYAN WILLIAM OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46662
TN
2085R0202X
Diagnostic Radiology Physician
46662
TN
2085R0202X
Diagnostic Radiology Physician
71515
GA
2085R0202X
Diagnostic Radiology Physician
Primary
ME123673
FL
Other
Enumeration date
06/17/2009
Last updated
04/11/2016
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