Provider Demographics
NPI:1457596355
Name:DOWELL, TOMAS GILBERTO (CPO)
Entity Type:Individual
Prefix:MR
First Name:TOMAS
Middle Name:GILBERTO
Last Name:DOWELL
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:TOMAS
Other - Middle Name:G
Other - Last Name:DOWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICENSE CPO
Mailing Address - Street 1:1201 NW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1624
Mailing Address - Country:US
Mailing Address - Phone:305-575-3109
Mailing Address - Fax:305-575-3245
Practice Address - Street 1:1201 NW 16TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1624
Practice Address - Country:US
Practice Address - Phone:305-575-3109
Practice Address - Fax:305-575-3245
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPRO10247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other