Basic Information
Provider Information
NPI: 1164900171
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REID ROWE
FirstName: SATORIA
MiddleName: ARNITRA
NamePrefix: MRS.
NameSuffix:  
Credential: APRN-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2995 DREW ST FL 2
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337593012
CountryCode: US
TelephoneNumber: 7275321355
FaxNumber: 8136352613
Practice Location
Address1: 2250 OSPREY BLVD STE 102
Address2:  
City: BARTOW
State: FL
PostalCode: 338304340
CountryCode: US
TelephoneNumber: 8635331448
FaxNumber: 8632297510
Other Information
ProviderEnumerationDate: 08/01/2018
LastUpdateDate: 03/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/22/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XAPRN9335581FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

ID Information
IDTypeStateIssuerDescription
10261740005FL MEDICAID


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