Individual
DR. STEPHEN STOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6867 SOUTHPOINT DRIVE NORTH, STE 111, JACKSONVILLE, FL 32216-8005
(904) 296-0278
(904) 296-0279
Mailing address
6867 SOUTHPOINT DRIVE NORTH, STE 111, JACKSONVILLE, FL 32216-8005
(904) 296-0278
(904) 296-0279
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME0045359
FL
207RI0011X
Interventional Cardiology Physician
ME0045359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069358800
—
FL
01
—
110018797
MEDICARE RAILROAD
FL
01
—
110018797
MEDICARE RAILROAD
—
Enumeration date
08/25/2005
Last updated
01/09/2012
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