Bowersock, Angela

Bowersock, Angela is an individual health care provider with primary practice located at 601 7Th St S Ste 205 , St Petersburg FL 33701-4708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Bowersock, Angela can be contacted via phone (727) 893-6234.

Contact Information

Primary practice address
601 7Th St S Ste 205 St Petersburg FL 33701-4708
Phone: (727) 893-6234
Fax: (727) 893-6111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9108656 Florida

Profile Details

NPI number 1700875960
LBN Legal business name Bowersock, Angela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Mar 5th, 2020 - about 5 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 1700875960 NPPES
Florida MEDICAID 014874000

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