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Individual

DR. COURTNEY ELISE BOVEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13904 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133
Mailing address
13904 N DALE MABRY HWY STE 200, TAMPA, FL 33618-2446
(813) 908-2020
(813) 908-2133

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME127012
FL
390200000X
Student in an Organized Health Care Education/Training Program
262229
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
017355800
FL
01
P01724661
RAILROAD MEDICARE
FL
Enumeration date
07/21/2011
Last updated
03/07/2023
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