Provider Demographics
NPI:1326041344
Name:LOWENSTEIN, MITCHELL BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:BRIAN
Last Name:LOWENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32615 US HIGHWAY 19 N
Mailing Address - Street 2:STE 2
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3176
Mailing Address - Country:US
Mailing Address - Phone:727-789-2784
Mailing Address - Fax:727-785-3537
Practice Address - Street 1:32615 US HIGHWAY 19 N
Practice Address - Street 2:STE 2
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3176
Practice Address - Country:US
Practice Address - Phone:727-789-2784
Practice Address - Fax:727-785-3537
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0031700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD57300Medicare UPIN
FLK3928Medicare ID - Type Unspecified