Individual
RODNEY E POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 MAR WALT DR, CARDIOLOGY DEPARTMENT, FT WALTON BEACH, FL 32547-6796
(850) 862-6934
(850) 862-6899
Mailing address
1005 MAR WALT DR, CARDIOLOGY DEPARTMENT, FT WALTON BEACH, FL 32547-6796
(850) 862-6934
(850) 862-6899
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0038630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040294000
—
FL
01
—
30688
BCBSFL
FL
Enumeration date
02/22/2006
Last updated
01/16/2017
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