Healthcare Provider Details

I. General information

NPI: 1215580980
Provider Name (Legal Business Name): ANN ROWLES FOYT REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5913 GRAND LONEOAK LN
LITHIA FL
33547-4874
US

IV. Provider business mailing address

11612 MISS CHLOE COURT, RIVERVIEW, FL 33579
RIVERVIEW FL
33579
US

V. Phone/Fax

Practice location:
  • Phone: 813-245-2782
  • Fax:
Mailing address:
  • Phone: 813-245-2782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number3272221
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: