Individual
MISS JERALD LEE COWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10000 BAY PINES BLVD, ST. PETERSBURG, FL 33710
(727) 398-9389
Mailing address
771 63RD AVE N, ST PETERSBURG, FL 33702-6605
(727) 527-8956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
679442
FL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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