Provider Demographics
NPI:1174372643
Name:GAYLA ROWLAND, M.D., PLLC
Entity type:Organization
Organization Name:GAYLA ROWLAND, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-384-3325
Mailing Address - Street 1:4100 S FERDON BLVD STE C2
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32536-5287
Mailing Address - Country:US
Mailing Address - Phone:850-683-3937
Mailing Address - Fax:850-683-0227
Practice Address - Street 1:332 MEDCREST DR UNIT B
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-6440
Practice Address - Country:US
Practice Address - Phone:850-683-3937
Practice Address - Fax:850-683-0227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty