Healthcare Provider Details

I. General information

NPI: 1053989574
Provider Name (Legal Business Name): CHRISTINA BOWENS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2021
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13305 N 56TH ST
TAMPA FL
33617-1161
US

IV. Provider business mailing address

PO BOX 850001, DEPT 8340
ORLANDO FL
32885-0001
US

V. Phone/Fax

Practice location:
  • Phone: 813-988-1101
  • Fax: 813-989-3899
Mailing address:
  • Phone: 813-536-7277
  • Fax: 855-830-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11013496
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: