Individual
MICHYLA LYN BOWERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
900 WINDERLEY PL, SUITE 2100, MAITLAND, FL 32751-7267
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261643
MA
2085R0202X
Diagnostic Radiology Physician
Primary
ME128324
FL
Other
Enumeration date
06/02/2010
Last updated
12/13/2016
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