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Individual

EUNICE SARAH MOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8045 SPYGLASS HILL RD STE 104, MELBOURNE, FL 32940-8567
(321) 294-5800
(321) 241-4578
Mailing address
900 VILLAGE SQUARE XING STE 290, PALM BEACH GARDENS, FL 33410-4552
(561) 693-0540
(561) 296-6174

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104204
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9692815
AETNA PIN
FL
01
Y0A00
BCBS PROVIDER NUMBER
FL
Enumeration date
08/23/2007
Last updated
08/21/2024
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