Healthcare Provider Details

I. General information

NPI: 1710056130
Provider Name (Legal Business Name): ARTHUR MCCLUNEY COWDEN II D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18430 S DIXIE HWY
MIAMI FL
33157-6816
US

IV. Provider business mailing address

6290 SW 114TH ST
MIAMI FL
33156-4865
US

V. Phone/Fax

Practice location:
  • Phone: 305-666-5080
  • Fax:
Mailing address:
  • Phone: 305-275-4488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberOS5112
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: