Individual
DR. ROBERT EMERSON BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 N HWY US1, FORT PIERCE, FL 34950
(772) 332-4420
Mailing address
5047 N HWY A1A APT 1502, FORT PIERCE, FL 34949-8238
(772) 332-4420
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
190864-1
NY
207K00000X
Allergy & Immunology Physician
MD042626E
PA
207K00000X
Allergy & Immunology Physician
Primary
ME110220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011485140001
—
PA
05
—
01111760
—
NY
01
—
040015199
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
Enumeration date
02/14/2006
Last updated
06/20/2013
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