Bowling, Douglas W

Bowling, Douglas W is an individual health care provider with primary practice located at 3496 Nw Federal Hwy , Jensen Beach FL 34957-4441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bowling, Douglas W can be contacted via phone (772) 223-5612.

Contact Information

Primary practice address
3496 Nw Federal Hwy Jensen Beach FL 34957-4441
Phone: (772) 223-5612
Fax: (772) 223-4949
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0068504 Florida

Profile Details

NPI number 1124003207
LBN Legal business name Bowling, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2005
Last updated Oct 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124003207 NPPES
Florida MEDICAID 378452500

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