MEDICARE: DR. MICHAEL MCDOWELL MD

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	207Y00000X	Otolaryngology Physician	282387	MA
2	207Y00000X	Otolaryngology Physician	0101232142	VA
3	207Y00000X	Otolaryngology Physician	ME153243	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740252105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL MCDOWELL MD

Provider Business Mailing Address
First Line	:	2853 GRANDE OAKS WAY
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-3769
Country	:	US
Telephone Number	:	401-239-7211
Fax Number	:

Provider Business Practice Location Address
First Line	:	1825 KINGSLEY AVE STE 250
Second Line	:
City	:	ORANGE PARK
State	:	FL
Zip	:	32073-4478
Country	:	US
Telephone Number	:	904-276-2549
Fax Number	:	904-276-9235

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	12/21/2022

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