Provider Demographics
NPI:1831278886
Name:BOWMAN, TAMARA LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:LEIGH
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 NW 24TH CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4328
Mailing Address - Country:US
Mailing Address - Phone:561-988-2003
Mailing Address - Fax:561-988-1082
Practice Address - Street 1:5010 NW 24TH CIR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4328
Practice Address - Country:US
Practice Address - Phone:561-988-2003
Practice Address - Fax:561-988-1082
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 49765207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism