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General NPI Number Information
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NPI Number | 1841373115
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Entity Type | Organization
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Legal Business Name | SOUTHPOINT CARDIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 4205 BELFORT RD SUITE 2065
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1471
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Country | US
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Telephone | 904-296-2631
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Fax | 904-296-0253
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Provider Business Mailing Address
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Address Line | 4205 BELFORT RD SUITE 2065
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City | JACKSONVILLE
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State | FL
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Zip | 32216-1471
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Country | US
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Telephone | 904-296-2631
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Fax | 904-296-0253
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Authorized Official
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Title or Position | OWNER/MGR
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Name | STEPHEN A STOWERS
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Credential | MD
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Telephone | 904-296-2631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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