MEDICARE: MRS. GERALDINE P BOWERS

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	101YM0800X	Mental Health Counselor	ISW3007	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1699111534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GERALDINE P BOWERS

Provider Business Mailing Address
First Line	:	1856 OLD FLEMING GROVE RD
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-4549
Country	:	US
Telephone Number	:	904-781-7797
Fax Number	:	904-781-8685

Provider Business Practice Location Address
First Line	:	1856 OLD FLEMING GROVE RD
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-4549
Country	:	US
Telephone Number	:	904-781-7797
Fax Number	:	904-781-8685

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

Provider Enumeration Date	:	05/20/2013
Last Update Date	:	05/20/2013

Similar Medicare Providers

1396912895 — EYE SURGERY & AESTHETICS PC
Practice Location Address:

35 COVERLY AVE
STATEN ISLAND, NY
10301-4549

Practice Phone: 718-448-0588
Practice Fax:

1811449648 — YOONJUNG NOH
Practice Location Address:

4549 40TH ST APT 1R
LONG ISLAND CITY, NY
11104-3921

Practice Phone: 646-703-2550
Practice Fax:

1033835723 — NORTH FLORIDA SLEEP RESOURCES
Practice Location Address:

1700 EAGLE HARBOR PKWY STE 7
FLEMING ISLAND, FL
32003-8329

Practice Phone: 904-906-6007
Practice Fax: 904-280-6658

1801891288 — DR. JEFFREY A BUBIS DO
Practice Location Address:

4689 US HIGHWAY 17 STE 2-5
FLEMING ISLAND, FL
32003-4831

Practice Phone: 904-269-6526
Practice Fax: 904-269-6527

1053316190 — DR. MEHDI M MOEZI MD
Practice Location Address:

2370 MARKET DR
FLEMING ISLAND, FL
32003-4326

Practice Phone: 94-264-6201
Practice Fax: 904-264-6858

1811992696 — MRS. LYNN R THIBODEAU PA
Practice Location Address:

4689 US HIGHWAY 17 STE 2
FLEMING ISLAND, FL
32003-4831

Practice Phone: 904-269-6526
Practice Fax: 904-269-6527

Directions to “ MRS. GERALDINE P BOWERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.