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NPI Code Detail

MEDICARE: FRANK W BOWDEN III MD FACS PA

MEDICARE: FRANK W BOWDEN III MD FACS PA
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1598800187
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANK W BOWDEN III MD FACS PA
Provider Business Mailing Address
First Line : 7205 BONNEVAL RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-7565
Country : US
Telephone Number : 904-296-0098
Fax Number : 904-861-3899
Provider Business Practice Location Address
First Line : 7205 BONNEVAL RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-7565
Country : US
Telephone Number : 904-296-0098
Fax Number : 904-861-3899
Authorized Official
Title or Position : ADMINISTRATOR
Name : PATTI BARKEY
Credential :
Telephone Number : 904-296-0098
Provider Enumeration Date : 02/21/2007
Last Update Date : 02/16/2010

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