Individual
DR. LEYDA E BOWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3659 S MIAMI AVE STE 6008, MIAMI, FL 33133-4221
(305) 856-6555
Mailing address
15051 S TAMIAMI TRL STE 203, FORT MYERS, FL 33908-5182
(239) 437-8810
(239) 313-2555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
212720
MA
207N00000X
Dermatology Physician
Primary
ME79593
FL
207NS0135X
Procedural Dermatology Physician
ME79593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029090
—
MA
05
—
272187200
—
FL
01
—
468616
TUFFS HEALTH PLAN
MA
01
—
81426
BCBS OF FLORIDA
FL
01
—
J26971
BCBS
MA
Enumeration date
05/18/2006
Last updated
07/21/2022
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