Individual
ZENOBIA BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6632 GLENCOE DR, TEMPLE TERRACE, FL 33617-3801
(813) 261-0382
(813) 261-0382
Mailing address
6632 GLENCOE DR, TEMPLE TER, FL 33617-3801
(866) 435-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P03055
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188706
AMERIGROUP
FL
05
—
340358100
—
FL
01
—
65807
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/02/2006
Last updated
07/07/2015
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