Provider Demographics
NPI:1245236728
Name:STOWE, CARY L (MD)
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:L
Last Name:STOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 36TH ST
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4862
Mailing Address - Country:US
Mailing Address - Phone:772-567-4311
Mailing Address - Fax:772-563-4594
Practice Address - Street 1:1040 37TH PL
Practice Address - Street 2:SUITE 101
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6578
Practice Address - Country:US
Practice Address - Phone:772-563-4580
Practice Address - Fax:772-563-4690
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49625208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL044996200Medicaid
FL02514OtherBLUE CROSS
FL02514WMedicare PIN
FL044996200Medicaid