Provider Demographics
NPI:1205983863
Name:BOWEN, MICHAEL
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:BOWEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9908 GULF DR.
Mailing Address - Street 2:P.O. BOX 669
Mailing Address - City:ANNA MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34216
Mailing Address - Country:US
Mailing Address - Phone:941-778-2641
Mailing Address - Fax:
Practice Address - Street 1:9908 GULF DR
Practice Address - Street 2:
Practice Address - City:ANNA MARIA
Practice Address - State:FL
Practice Address - Zip Code:34216
Practice Address - Country:US
Practice Address - Phone:941-778-2641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT1597227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered