Healthcare Provider Details

I. General information

NPI: 1073449849
Provider Name (Legal Business Name): DANA MARIE BOWEN-REID APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7148 NW 49TH PL
LAUDERHILL FL
33319-3438
US

IV. Provider business mailing address

7148 NW 49TH PL
LAUDERHILL FL
33319-3438
US

V. Phone/Fax

Practice location:
  • Phone: 305-932-6360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11047986
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: