Individual
GARY KENNETH OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1900 N MILLS AVE, SUITE 107, ORLANDO, FL 32803-1444
(407) 894-4880
(407) 894-2364
Mailing address
1900 N MILLS AVE, SUITE 107, ORLANDO, FL 32803-1444
(407) 894-4880
(407) 894-2364
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9105813
FL
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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