| Pamela S Bowyer Inc | |
|
4802 26th St W Ste C Bradenton FL 34207-1713 | |
| (941) 752-7773 | |
| (941) 752-7774 |
| Full Name | Pamela S Bowyer Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4802 26th St W Ste C, Bradenton, Florida |
| Authorized Official Name and Position | Pamela S Bowyer (PRESIDENT) |
| Authorized Official Contact | 9417527773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela S Bowyer Inc 4802 26th St W Ste C Bradenton FL 34207-1713 Ph: (941) 752-7773 | Pamela S Bowyer Inc 4802 26th St W Ste C Bradenton FL 34207-1713 Ph: (941) 752-7773 |
| NPI Number | 1033432406 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 03/12/2010 |
| Medicare PECOS PAC ID | 0648451716 |
|---|---|
| Medicare Enrollment ID | O20110222000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033432406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW4437 (Florida) | Primary |
| 106H00000X | Marriage & Family Therapist | MT2019 (Florida) | Secondary |
| Provider Name | Pamela S Bowyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497837884 PECOS PAC ID: 6103835764 Enrollment ID: I20080625000323 |
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