MEDICARE: LINDA D BOWERS LCSW 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
1	1041C0700X	Clinical Social Worker	SW2164	FL

General Provider Information

NPI Number	:	1477712370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA D BOWERS LCSW PA

Provider Business Mailing Address
First Line	:	7901 4TH ST N
Second Line	:	STE 309
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33702-4305
Country	:	US
Telephone Number	:	727-329-6500
Fax Number	:	727-329-6555

Provider Business Practice Location Address
First Line	:	7901 4TH ST N
Second Line	:	STE 309
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33702-4305
Country	:	US
Telephone Number	:	727-329-6500
Fax Number	:	727-329-6555

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LINDA D BOWERS
Credential	:	LCSW
Telephone Number	:	727-329-6500

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	09/12/2008

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