Provider Demographics
NPI:1639129844
Name:STOWELL, ROBYN JAYE (ARNP)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:JAYE
Last Name:STOWELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5422 CARRIER DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8394
Mailing Address - Country:US
Mailing Address - Phone:407-354-1222
Mailing Address - Fax:407-354-0065
Practice Address - Street 1:1303 SE 59TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-6146
Practice Address - Country:US
Practice Address - Phone:407-562-6614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP11107122083P0011X, 363L00000X, 363LX0001X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU7269ZMedicare ID - Type Unspecified
Q68078Medicare UPIN