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NPI Code Detail

MEDICARE: VERA BOWERS

MEDICARE: VERA BOWERS
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
1104100000XSocial Worker19087FL
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740650399
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERA BOWERS
Provider Business Mailing Address
First Line : 165 WELLS RD STE 304
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-3037
Country : US
Telephone Number : 904-720-4040
Fax Number :
Provider Business Practice Location Address
First Line : 165 WELLS RD STE 304
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-3037
Country : US
Telephone Number : 904-720-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2015
Last Update Date : 11/19/2023

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Directions to “ VERA BOWERS ” Practice Location

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