Individual
BRIEN O BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 WATERS EDGE DR, LEESBURG, FL 34748-7074
(352) 365-1842
(352) 365-9878
Mailing address
202 WATERS EDGE DR, LEESBURG, FL 34748-7074
(352) 365-1842
(352) 365-9878
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693305096
—
FL
05
—
693305098
—
FL
Enumeration date
05/22/2008
Last updated
05/22/2008
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