Provider Demographics
NPI:1689826869
Name:CAROL ROWE CRNFA, PA
Entity Type:Organization
Organization Name:CAROL ROWE CRNFA, PA
Other - Org Name:RNFA EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-382-2818
Mailing Address - Street 1:10190 SW 3RD ST
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 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4000
Practice Address - Country:US
Practice Address - Phone:954-382-2818
Practice Address - Fax:954-382-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9104834363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPA9104834OtherPA LICENSE NUMBER