Provider Demographics
NPI:1104153584
Name:ROWLAND, CHAD M (RT(R)(CT))
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:M
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:RT(R)(CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32137 BLUEGILL DR
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-4609
Mailing Address - Country:US
Mailing Address - Phone:352-217-7907
Mailing Address - Fax:
Practice Address - Street 1:32137 BLUEGILL DR
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4609
Practice Address - Country:US
Practice Address - Phone:352-217-7907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL403045247100000X, 2471C3401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3401XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistComputed Tomography
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist