Provider Demographics
NPI:1952367716
Name:TOWRY, JAMES (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:TOWRY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 SE 17TH ST
Mailing Address - Street 2:#300
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4120
Mailing Address - Country:US
Mailing Address - Phone:352-620-2420
Mailing Address - Fax:352-620-2935
Practice Address - Street 1:7502 SW 60TH AVE UNIT A
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-6467
Practice Address - Country:US
Practice Address - Phone:352-484-0463
Practice Address - Fax:352-300-3596
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS6005207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001455801Medicaid
FLCN895ZMedicare PIN
FL001455801Medicaid