Active NPI
Cowford Medical LLC
- Certified Registered Nurse Anesthetist
- Fleming Island, FL
National Provider Identifier
1992531149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- COWFORD MEDICAL LLC
- Practice address
- 1670 Eagle Harbor Pkwy
Fleming Island, FL 32003-4820 - Phone
- (904) 644-0700
- NPI assigned
- Sep 12, 2024
- Last updated
- Oct 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deniece C Bremer
- Title
- Ceo
- Phone
- (904) 219-7552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
1670 Eagle Harbor Pkwy
Fleming Island, FL 32003-4820
Mailing address
14114 Mahogany Ave
Jacksonville, FL 32258-5513
Phone (904) 219-7552
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1992531149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14114 MAHOGANY AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585513",
"telephone_number": "904-219-7552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 EAGLE HARBOR PKWY",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320034820",
"telephone_number": "904-644-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COWFORD MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-12",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A",
"authorized_official_last_name": "BREMER",
"authorized_official_first_name": "DENIECE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-219-7552"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
- Cora Health Services Inc. (CORA Physical Therapy - Fleming Island)
- Katelyn Cory, PA
- Jose Eduardo Costa Filho, MD
- Counseling by Katie
- Allison H Courson, APRN
- Craig P Kurtz LMHC, PA
- Charlotte Crawford, LMT
- Lauren E Crawford, DMD
- Annette Louise Croskey-Zivkovic, DC
- Curtis Marc Standish, D.M.D., P.a. (Eagle Harbor Dental)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.