Individual
DR. CHRISTINA BETH BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
905 PARK AVE, SUITE 100, ORANGE PARK, FL 32073-4101
(904) 264-1206
Mailing address
905 PARK AVE, SUITE 100, ORANGE PARK, FL 32073-4101
(904) 264-1206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2381606
UNITED HEALTHCARE
FL
01
—
28000
BLUE CROSS BLUE SHIELD FL
FL
05
—
620874600
—
FL
01
—
7609541
AETNA
FL
Enumeration date
10/06/2005
Last updated
01/29/2008
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