Healthcare Provider Details

I. General information

NPI: 1609897859
Provider Name (Legal Business Name): THOMAS R ROWE GENERAL & ONCOLOGIC SURGERY PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 12/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 MILITARY TRL SUITE 305
JUPITER FL
33458-7801
US

IV. Provider business mailing address

PO BOX 1430
JUPITER FL
33468-1430
US

V. Phone/Fax

Practice location:
  • Phone: 561-748-2889
  • Fax: 561-748-1523
Mailing address:
  • Phone: 561-748-2889
  • Fax: 561-748-1523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS R ROWE
Title or Position: PRESIDENT
Credential: MD
Phone: 561-748-2889