Provider Demographics
NPI:1053442269
Name:CAROL ROWE, CRNFA, PA
Entity Type:Organization
Organization Name:CAROL ROWE, CRNFA, PA
Other - Org Name:PROFESSIONAL SURGICAL ASSISTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNFA
Authorized Official - Phone:954-382-2930
Mailing Address - Street 1:10190 SW 3RD STREET
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2234
Mailing Address - Country:US
Mailing Address - Phone:954-382-2818
Mailing Address - Fax:954-382-4910
Practice Address - Street 1:1367 UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2234
Practice Address - Country:US
Practice Address - Phone:954-382-2930
Practice Address - Fax:954-382-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLX1380OtherBLUE CROSS BLUE SHIELD