Healthcare Provider Details

I. General information

NPI: 1962482927
Provider Name (Legal Business Name): GAYLA D ROWLAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 MEDCREST DR UNIT B
CRESTVIEW FL
32536-6440
US

IV. Provider business mailing address

8333 N DAVIS HWY
PENSACOLA FL
32514-6050
US

V. Phone/Fax

Practice location:
  • Phone: 850-683-3937
  • Fax: 850-683-0227
Mailing address:
  • Phone: 850-474-8100
  • Fax: 850-969-8083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME89958
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: