DR. MICHAEL BOWEN (NPI# 1295034676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295034676 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BOWEN |
| Credential | PHARMD |
| Practice Address |
9655 Florida Mining Blvd W Suite 411 Jacksonville FL 32257-2031 |
| Practice Telephone | 9046521990 |
| Practice Fax Number | 9046521991 |
| Mailing Telephone | 9046521990 |
| Mailing Fax Number | 9046521991 |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS42430 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558771410 | Michael Patrick Bowen | Psychiatry & Neurology | Regimental Aid Station, 5th Marines, 62 Abmc, 8th Street, Camp Pendleton, CA 92055 | 2014-05-01 |
| 1851691711 | Michael J. Bowen | Dentist | 7032 E. Cochise Rd., #100, Scottsdale, AZ 85253 | 2010-10-26 |
| 1336299098 | Michael Lawrence Bowen | Pediatrics | 545 E Redd Rd, Suite C-2, El Paso, TX 79912-1293 | 2007-01-12 |
| 1356306641 | Michael Dale Bowen | Dentist | 292 E Saginaw Rd, Sanford, MI 48657 | 2006-04-19 |
| 1083610208 | Michael James Bowen | Chiropractor | 11110 Artesia Blvd, Ste G, Cerritos, CA 90703-2546 | 2005-06-22 |
| 1588966030 | Michael Scott Bowen | Nurse Practitioner | 501 Morris St, Hospitalists/intensivist Program, Charleston, WV 25301-1326 | 2010-12-02 |
| 1871807248 | Michael Bowen | Podiatrist | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2010-07-28 |
| 1730387580 | Michael Alexander Bowen | Nurse Practitioner | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2007-07-03 |
| 1205983863 | Michael Bowen | Respiratory Therapist, Registered | 9908 Gulf Dr, Anna Maria, FL 34216 | 2007-01-05 |
| 1497802367 | Michael Edward Bowen | Internal Medicine | 5323 Harry Hines Blvd., Dallas, TX 75390-7201 | 2007-01-04 |
| Street Address |
9655 FLORIDA MINING BLVD W SUITE 411 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-2031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881881522 | Infusal Partners | Pharmacy | 9655 Florida Mining Blvd W, Bldg 400, Suites 410-411, Jacksonville, FL 32257-2031 | 2007-09-26 |
| 1376707380 | Infucenters LLC | Clinic/Center | 9655 Florida Mining Blvd W, Suite 411, Jacksonville, FL 32257-2031 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912343492 | Alyson Gibson Wilder | Pharmacist | 13925 Fish Eagle Dr E, Jacksonville, FL 32226-5894 | 2013-05-10 |
| 1235368473 | Dione Kisha Washington | Pharmacist | 10137 Lancashire Dr, Jacksonville, FL 32219-4367 | 2009-07-09 |
| 1659986529 | Henry Lee Simmons Jr. | Pharmacist | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-09-09 |
| 1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
| 1649880097 | Meseret Tilahun Dabi | Pharmacist | 655 W 8th St # C-89, Jacksonville, FL 32209-6511 | 2020-07-31 |
| 1962040550 | Mara George | Pharmacist | 103 Gregory Pl, Jacksonville, AR 72076-3211 | 2019-12-15 |
| 1699326223 | Mariya Kotova | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2019-09-25 |
| 1386099406 | Tracy Nicole Coker Durrett | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2016-04-26 |
| 1831527878 | Lori Serrano Fiallo | Pharmacist | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-10-30 |
| 1588005680 | Lindsey Shea Tate | Pharmacist | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-07-17 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
Please comment or provide details below to improve the information on DR. MICHAEL BOWEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.