Individual
STACEA N BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1395 S STATE ROAD 7, SUITE 450, WELLINGTON, FL 33414-9325
(561) 798-1233
(561) 798-1655
Mailing address
1395 S STATE ROAD 7, SUITE 450, WELLINGTON, FL 33414-9325
(561) 798-1233
(561) 798-1655
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME107910
FL
207V00000X
Obstetrics & Gynecology Physician
MT185830
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003286400
—
FL
Enumeration date
02/06/2008
Last updated
09/09/2011
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