Provider Demographics
NPI:1114928603
Name:ROWLAND, ROBERT D (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4646
Mailing Address - Country:US
Mailing Address - Phone:850-216-0100
Mailing Address - Fax:850-216-0180
Practice Address - Street 1:1300 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4646
Practice Address - Country:US
Practice Address - Phone:850-216-0100
Practice Address - Fax:850-216-0180
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57075207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00000OtherCAPITAL HEALTH PLAN
FL00000OtherNOVA NET
FL00000OtherTRI-CARE
FL00000OtherUNITED HEALTH CARE
FL054042100Medicaid
FL00000OtherEVOLUTIONS HC SYSTEM
FL00000OtherVISTA
FL00000OtherUNIVERSAL HEALTH CARE
FL00000OtherSOUTH CARE
FL00000OtherHUMANA/CHOICE CARE
FL00000OtherBEECH STREET
FL00000OtherNOVA NET
FL00000OtherCA[PITAL HEALTH PLAN
FL054042100Medicaid