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NPI Code Detail

MEDICARE: DENNIS BOWSHER MD PA

MEDICARE: DENNIS BOWSHER 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
1207R00000XInternal Medicine PhysicianME59486FL
2207RC0000XCardiovascular Disease PhysicianME59486FL
3207UN0901XNuclear Cardiology PhysicianME59486FL
4208U00000XClinical Pharmacology PhysicianME59486FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P03000107437OTHERFLDIVISION OF CORPORATIONS

General Provider Information

NPI Number : 1598880056
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENNIS BOWSHER MD PA
Provider Business Mailing Address
First Line : 440 E SAMPLE RD STE 102
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33064-4432
Country : US
Telephone Number : 954-781-8300
Fax Number : 954-781-8938
Provider Business Practice Location Address
First Line : 440 E SAMPLE RD STE 102
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33064-4432
Country : US
Telephone Number : 954-781-8300
Fax Number : 954-781-8938
Authorized Official
Title or Position : DIRECTOR
Name : DENNIS BOWSHER
Credential : MD
Telephone Number : 954-781-8300
Provider Enumeration Date : 03/20/2007
Last Update Date : 06/21/2018

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Practice Fax: 954-458-1946

Directions to “DENNIS BOWSHER MD PA ” Practice Location

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