Individual
MS. SUE ELLEN ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
11373 CORTEZ BLVD STE 202, BROOKSVILLE, FL 34613-5405
(352) 597-3444
(352) 597-0117
Mailing address
11373 CORTEZ BLVD STE 202, BROOKSVILLE, FL 34613-5405
(352) 597-3444
(352) 597-0117
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001202L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000927001002
HEATH NOW
NY
Enumeration date
09/20/2006
Last updated
06/03/2021
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