Provider Demographics
NPI:1962686782
Name:ROWE, KAREN LESLIE (DOM)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LESLIE
Last Name:ROWE
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 SE 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1110
Mailing Address - Country:US
Mailing Address - Phone:954-663-4325
Mailing Address - Fax:954-467-8723
Practice Address - Street 1:1140 SE 3RD AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1110
Practice Address - Country:US
Practice Address - Phone:954-663-4325
Practice Address - Fax:954-467-8723
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1489171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist