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Individual

DR. GARY J. BOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
836 PRUDENTIAL DR, SUITE 1107, JACKSONVILLE, FL 32207-8338
(904) 398-0033
(904) 398-6774
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0046671
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020053793
RAILROAD MEDICARE
01
1732633
CIGNA
01
209665
AVMED
01
23323
BCBS FL
01
4420181
AETNA
Enumeration date
05/04/2006
Last updated
06/24/2011
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