Individual
KOUJI J. BOWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4101
Mailing address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4125
(941) 766-4101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9228400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038277 00
—
FL
01
—
G00SG
BCBS
FL
01
—
XXX-XX-5407
CHAMPUS / TRICARE SOUTH REGION
—
Enumeration date
06/18/2011
Last updated
04/04/2025
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