MEDICARE: BPR MEDICAL LLC DBA SOWAL HEALTH AND WELLNESS

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1871450940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BPR MEDICAL LLC DBA SOWAL HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	9375 EMERALD COAST PKWY W STE 27A
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-7222
Country	:	US
Telephone Number	:	850-353-2743
Fax Number	:	850-373-4875

Provider Business Practice Location Address
First Line	:	9375 EMERALD COAST PKWY W STE 27A
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-7222
Country	:	US
Telephone Number	:	850-353-2743
Fax Number	:	850-373-4875

Authorized Official
Title or Position	:	OWNER / PROVIDER
Name	:	BOBBIE SUE PEARSON
Credential	:	APRN
Telephone Number	:	850-353-2743

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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