Organization
PAUL HERSCHEL BOWMAN MD
Active
Other names
The Bowman Institute
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HERSCHEL BOWMAN M.D (PRESIDENT)
(813) 977-2040
Entity
Organization
Contact information
Practice address
5379 PRIMROSE LAKE CIRCLE, TAMPA, FL 33647
(813) 977-2040
(813) 977-3886
Mailing address
PO BOX 46937, TAMPA, FL 33646
(813) 977-2040
(813) 977-3886
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME90592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46698
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
08/03/2006
Last updated
08/06/2010
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