NPI 1003121542
Jimmy Allen Bowman
Practice location
- Address
- 950 N Courtenay Pkwy STE 2, Merritt Island, FL 32953-4501
- Phone
- (321) 631-3155
- Fax
- (321) 638-8684
Registered specialties
Denturist
Primary
Registry record
- NPI
- 1003121542
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Aug 2010
- Record last updated
- 7 Feb 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.