Individual
BRENDAN MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
653-1 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-3140
Mailing address
653-1 W 8TH ST FL 4, JACKSONVILLE, FL 32209-6511
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
92669
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
01/23/2023
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