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NPI Code Detail

MEDICARE: LISA BOWERS MD PA

MEDICARE: LISA BOWERS MD 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
1207L00000XAnesthesiology PhysicianME72092FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
142737OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457384091
Entity Type Code : Organization
Provider Name (Legal Business Name) : LISA BOWERS MD PA
Provider Business Mailing Address
First Line : 291 SOUTHHALL LANE
Second Line :
City : MAITLAND
State : FL
Zip : 32751
Country : US
Telephone Number : 407-667-0444
Fax Number : 407-667-4338
Provider Business Practice Location Address
First Line : 1405 S ORANGE AVE
Second Line : SUITE 400
City : ORLANDO
State : FL
Zip : 32806-2154
Country : US
Telephone Number : 407-667-0444
Fax Number : 407-667-4338
Authorized Official
Title or Position : OWNER
Name : DR. LISA A BOWERS
Credential : MD
Telephone Number : 407-667-0444
Provider Enumeration Date : 07/08/2006
Last Update Date : 10/06/2009

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1144256710 — LISA A BOWERS MD
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Directions to “LISA BOWERS MD PA ” Practice Location

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