Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME140987 | FL |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME140987 | FL |
NPI | 1194042234 |
---|---|
Provider Name | Dr. Stuart Cameron Owens |
First Address | Temple Terrace, FL 33637-0904 |
Second Address | Lakeland, FL 33805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 17/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FO2049799 | DEA (01) | FL |
ME140987 | MD LICENSE (01) | FL |