Angela Bowersock in St Petersburg - Surgical
Angela Bowersock - NPI 1700875960
Angela Bowersock is a Surgical in St Petersburg, Florida. Angela Bowersock practices all healthcare services and medical treatments related to Surgical. The NPI Number for Angela Bowersock is 1700875960. The last update date is 2020-03-05.
Angela Bowersock's current location address is 601 7th St S Ste 205, St Petersburg, Florida. You can contact this provider via phone number 7278936234 and fax number 7278936111. The mailing address for Angela Bowersock is 601 7th St S Ste 205, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Bowersock |
|---|---|
| Address | 601 7th St S Ste 205, St Petersburg, Florida |
| Phone Number | 7278936234 |
| Fax Number | 7278936111 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700875960 |
|---|---|
| Provider Enumeration Date | 2005-10-19 |
| Last Updated Date | 2020-03-05 |
Provider Mailing Address Detail
| Address | 601 7th St S Ste 205 |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337014708 |
| Phone Number | 7278936234 |
| Fax Number | 7278936111 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9108656 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14874000 | FL | -- |
Post Comment/ Review Below
What is the Angela Bowersock's 1700875960?
The Angela Bowersock's NPI (National Provider Identifier) Number is 1700875960. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Angela Bowersock?
The Angela Bowersock is physically situated at 601 7Th St S Ste 205, in the city of St Petersburg, state of FL, with the postal code 337014708.
What is Angela Bowersock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Angela Bowersock's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700875960 to Angela Bowersock?
The Centers for Medicare & Medicaid Services originally issued the 1700875960 to Angela Bowersock on 2005-10-19.
As of what date were the Angela Bowersock's details last updated?
The information pertaining to the Angela Bowersock, including its address, specialty, and other details, was most recently updated on 2020-03-05.