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NPI Code Detail

MEDICARE: DENNIS BOWSHER M.D.

MEDICARE:   DENNIS  BOWSHER  M.D.
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 PhysicianME 59486FL
2207RC0000XCardiovascular Disease PhysicianME 59486FL
3207UN0901XNuclear Cardiology PhysicianME 59486FL
4208U00000XClinical Pharmacology PhysicianME 59486FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00082753OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112252OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1902816994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS BOWSHER M.D.
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 :
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 :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 06/13/2012

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Directions to “ DENNIS BOWSHER M.D.” Practice Location

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