Provider Demographics
NPI:1306159264
Name:ROWE, EMILY THERIZA (MD, AP)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:THERIZA
Last Name:ROWE
Suffix:
Gender:F
Credentials:MD, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 EUCLID AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3521
Mailing Address - Country:US
Mailing Address - Phone:305-742-9667
Mailing Address - Fax:
Practice Address - Street 1:1680 MERIDIAN AVE STE 603
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2720
Practice Address - Country:US
Practice Address - Phone:305-397-8229
Practice Address - Fax:305-847-3122
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2705171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2705OtherFLORIDA ACUPUNCTURE LICENSE