Individual
PAUL H BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5379 PRIMROSE LAKE CIR, TAMPA, FL 33647-3521
(813) 977-2040
(813) 977-3886
Mailing address
5379 PRIMROSE LAKE CIR, TAMPA, FL 33647-3521
(813) 977-2040
(813) 977-3886
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME90592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46698
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/25/2006
Last updated
12/02/2011
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