Provider Demographics
NPI:1962475525
Name:BOWERS, HENRY M JR (MD)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:M
Last Name:BOWERS
Suffix:JR
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:PO BOX 552279
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33655-0001
Mailing Address - Country:US
Mailing Address - Phone:727-842-4848
Mailing Address - Fax:
Practice Address - Street 1:5542 HIGH ST
Practice Address - Street 2:SUITE C
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4026
Practice Address - Country:US
Practice Address - Phone:727-842-4848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65540207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277716900Medicaid
FL93531OtherBCBS FL
AB5547976OtherFEDERAL DEA
AB5547976OtherFEDERAL DEA
FL93531OtherBCBS FL
FL277716900Medicaid