MEDICARE: ROBYN JAYE STOWELL ARNP

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	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	ARNP1110712	FL
2	363L00000X	Nurse Practitioner	ARNP1110712	FL
3	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	ARNP1110712	FL
4	363LA2200X	Adult Health Nurse Practitioner	ARNP1110712	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639129844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBYN JAYE STOWELL ARNP

Provider Business Mailing Address
First Line	:	5422 CARRIER DR
Second Line	:	SUITE 306
City	:	ORLANDO
State	:	FL
Zip	:	32819-8394
Country	:	US
Telephone Number	:	407-354-1222
Fax Number	:	407-354-0065

Provider Business Practice Location Address
First Line	:	1303 SE 59TH ST
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34480-6146
Country	:	US
Telephone Number	:	407-562-6614
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	07/26/2022

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