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Individual

ALICIA F COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
12670 CREEKSIDE LN STE 202, FORT MYERS, FL 33919
(239) 482-2663
(239) 482-7585
Mailing address
12670 CREEKSIDE LN STE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
(239) 482-7585

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME137134
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME137134
FL

Other

Enumeration date
04/06/2010
Last updated
10/02/2024
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