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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
1152W00000XOptometrist
2207W00000XOphthalmology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1770987836
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANK W. BOWDEN, III, MD, FACS, PA
Provider Business Mailing Address
First Line : 206 ASHOURIAN AVE STE 215
Second Line :
City : SAINT AUGUSTINE
State : FL
Zip : 32092-5107
Country : US
Telephone Number : 904-296-0098
Fax Number : 904-346-0559
Provider Business Practice Location Address
First Line : 206 ASHOURIAN AVE STE 215
Second Line :
City : SAINT AUGUSTINE
State : FL
Zip : 32092-5107
Country : US
Telephone Number : 904-296-0098
Fax Number : 904-346-0559
Authorized Official
Title or Position : OWNER
Name : FRANK BOWDEN III
Credential : M.D.
Telephone Number : 904-296-0098
Provider Enumeration Date : 10/20/2014
Last Update Date : 04/29/2022

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