MEDICARE: DR. SETH JAMES BOWDEN D.C.

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	111N00000X	Chiropractor	CH11370	FL

General Provider Information

NPI Number	:	1861884975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SETH JAMES BOWDEN D.C.

Provider Business Mailing Address
First Line	:	155 S CHARLES RICHARD BEALL BLVD STE B
Second Line	:
City	:	DEBARY
State	:	FL
Zip	:	32713-3268
Country	:	US
Telephone Number	:	386-320-0058
Fax Number	:	386-516-6921

Provider Business Practice Location Address
First Line	:	155 S CHARLES RICHARD BEALL BLVD STE B
Second Line	:
City	:	DEBARY
State	:	FL
Zip	:	32713-3268
Country	:	US
Telephone Number	:	386-320-0058
Fax Number	:	386-516-6921

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

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	10/30/2020

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