MEDICARE: DANA MARIE BOWEN-REID APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	11047986	FL

General Provider Information

NPI Number	:	1073449849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA MARIE BOWEN-REID APRN

Provider Business Mailing Address
First Line	:	7148 NW 49TH PL
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-3438
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7148 NW 49TH PL
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33319-3438
Country	:	US
Telephone Number	:	305-932-6360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “ DANA MARIE BOWEN-REID APRN” Practice Location

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