Individual
CLARENCE H OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 S MOON AVE, BRANDON, FL 33511-5711
(813) 571-9988
(813) 571-9922
Mailing address
270 S MOON AVE, BRANDON, FL 33511-5711
(813) 571-9988
(813) 571-9922
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
33925
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME157851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1136E
BCBS
NC
01
—
1807389
UHC
NC
01
—
780001235
RR MCR
NC
01
—
80107
MEDCOST
NC
05
—
891136E
—
NC
Enumeration date
06/17/2005
Last updated
08/12/2022
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