MEDICARE: DR. MICHAEL WAYNE ROWE D.D.S.

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN8252	FL

General Provider Information

NPI Number	:	1487808184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL WAYNE ROWE D.D.S.

Provider Business Mailing Address
First Line	:	5121 EHRLICH RD
Second Line	:	SUITE 110
City	:	TAMPA
State	:	FL
Zip	:	33624-2049
Country	:	US
Telephone Number	:	813-968-9641
Fax Number	:	813-960-7647

Provider Business Practice Location Address
First Line	:	5121 EHRLICH RD
Second Line	:	SUITE 110
City	:	TAMPA
State	:	FL
Zip	:	33624-2049
Country	:	US
Telephone Number	:	813-968-9641
Fax Number	:	813-960-7647

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2008
Last Update Date	:	11/06/2008

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