| NPI | 1245411859 |
|---|---|
| Former Legal Business Name | JOHN W. COWAN PHYSICIAN ASSISTANT INC |
| Entity Type | Organization |
| Authorized Contact | MATT BERTSCH CFO 813-343-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2016-12-06 |