MEDICARE: DR. STEPHEN STOWERS MD

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	207RC0000X	Cardiovascular Disease Physician	ME0045359	FL
2	207RI0011X	Interventional Cardiology Physician	ME0045359	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110018797	OTHER	FL	MEDICARE RAILROAD
3	110018797	OTHER		MEDICARE RAILROAD

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	:	1902899826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN STOWERS MD

Provider Business Mailing Address
First Line	:	6867 SOUTHPOINT DRIVE NORTH
Second Line	:	STE 111
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-8005
Country	:	US
Telephone Number	:	904-296-0278
Fax Number	:	904-296-0279

Provider Business Practice Location Address
First Line	:	6867 SOUTHPOINT DRIVE NORTH
Second Line	:	STE 111
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-8005
Country	:	US
Telephone Number	:	904-296-0278
Fax Number	:	904-296-0279

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	01/09/2012

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Directions to “ DR. STEPHEN STOWERS MD” Practice Location

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