Provider Demographics
NPI:1013089341
Name:STOWELL, JANICE KATE (EDD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:KATE
Last Name:STOWELL
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33823-9570
Mailing Address - Country:US
Mailing Address - Phone:863-651-8445
Mailing Address - Fax:
Practice Address - Street 1:574 SOMERSET DR
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:FL
Practice Address - Zip Code:33823-9570
Practice Address - Country:US
Practice Address - Phone:863-651-8445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL8115575 00Medicaid