Provider Demographics
NPI:1497865489
Name:ROWDA, JOHN W (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:ROWDA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:240 N LECANTO HWY
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-9191
Mailing Address - Country:US
Mailing Address - Phone:352-746-2246
Mailing Address - Fax:352-746-2807
Practice Address - Street 1:240 N LECANTO HWY
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-9191
Practice Address - Country:US
Practice Address - Phone:352-746-2246
Practice Address - Fax:352-746-2807
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS0004322207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD60630Medicare UPIN
FL82413ZMedicare ID - Type Unspecified
82413ZMedicare PIN