Organization
LISA BOWERS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A BOWERS MD (OWNER)
(407) 667-0444
Entity
Organization
Contact information
Practice address
1405 S ORANGE AVE, SUITE 400, ORLANDO, FL 32806-2154
(407) 667-0444
(407) 667-4338
Mailing address
291 SOUTHHALL LANE, MAITLAND, FL 32751
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME72092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253744300
—
FL
01
—
42737
BCBS
FL
Enumeration date
07/08/2006
Last updated
10/06/2009
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