Organization
PAUL HERSCHEL BOWMAN MD
Active
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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