MEDICARE: DR. MITCHELL BRIAN LOWENSTEIN 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	174400000X	Specialist	ME0031700	FL

General Provider Information

NPI Number	:	1326041344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHELL BRIAN LOWENSTEIN M.D.

Provider Business Mailing Address
First Line	:	32615 US HIGHWAY 19 N
Second Line	:	STE 2
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3176
Country	:	US
Telephone Number	:	727-789-2784
Fax Number	:	727-785-3537

Provider Business Practice Location Address
First Line	:	32615 US HIGHWAY 19 N
Second Line	:	STE 2
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3176
Country	:	US
Telephone Number	:	727-789-2784
Fax Number	:	727-785-3537

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/30/2009

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