Individual
MITCHELL W BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD, SUITE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 219-1881
Mailing address
3334 CAPITAL MEDICAL BLVD, SUITE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 219-1881
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
POR 207
FL
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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