Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 43056 | FL |
NPI | 1801128855 |
---|---|
Provider Name | Tasha Bowers |
First Address | Tampa, FL 33603-1207 |
Second Address | Tampa, FL 33603-1207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2010 |
Last Update Date | 02/02/2010 |