MEDICARE: DR. BARBARA R. COWLEY M.D.

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	207R00000X	Internal Medicine Physician	ME44233	FL

General Provider Information

NPI Number	:	1770612509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA R. COWLEY M.D.

Provider Business Mailing Address
First Line	:	1561 BELLA VISTA AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33156-6464
Country	:	US
Telephone Number	:	305-665-1459
Fax Number	:	305-675-5936

Provider Business Practice Location Address
First Line	:	1561 BELLA VISTA AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33156-6464
Country	:	US
Telephone Number	:	305-665-1459
Fax Number	:	305-675-5936

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/08/2007

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