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NPI Code Detail

MEDICARE: RASHEEDAH STOWE

MEDICARE: RASHEEDAH STOWE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1063575827
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHEEDAH STOWE
Provider Business Mailing Address
First Line : 11820 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-6670
Country : US
Telephone Number : 904-642-9100
Fax Number : 904-641-6529
Provider Business Practice Location Address
First Line : 11820 BEACH BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-6670
Country : US
Telephone Number : 904-642-9100
Fax Number : 904-641-6529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/08/2007

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Directions to “ RASHEEDAH STOWE ” Practice Location

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