Stanley D Rowicki MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME74890 Issued in FL

Legal business name

STANLEY D ROWICKI MD PA

Practice address

800 Prudential Dr
Jacksonville, FL 32207-8202

Phone

(904) 343-8982

Fax

(904) 281-9806

NPI assigned

Aug 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stanley D Rowicki, MD

Title

President

Phone

(904) 343-8982

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1841505492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 ATLANTIC BLVD",
            "address_2": "SUITE C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322071137",
            "telephone_number": "904-343-8982",
            "fax_number": "904-281-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078202",
            "telephone_number": "904-343-8982",
            "fax_number": "904-281-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY D ROWICKI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "ROWICKI",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-343-8982",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000431700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Stanford, DMD
• Theresa Stanford, LMHC
• Tracey Stanford
• Gerald Keith Stanga Jr.
• Pamela Fran Stanger, APRN
• Alaina Rachelle Stanley
• Chelsea Stanley
• Frank G. Stanley, PH.D.
• Jakesha Stanley, MA
• Jasmine Stanley

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.