NPI 1063740066

Mitchell W Bowman

Practitioner Prosthetist Tallahassee, FL

Practice location

Address: 3334 Capital Medical Blvd Suite 400, Tallahassee, FL 32308-8405
Phone: (850) 877-8174
Fax: (850) 219-1881

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence POR 207 (FL)

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Registry record

NPI: 1063740066
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2009
Record last updated: 2 Dec 2009

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.