Tyesha Bowen (NPI# 1629440516, PAC ID# 7012255102) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629440516 |
| PAC ID by PECOS | 7012255102 |
| Professional Enrollment ID | I20190215000203 |
| Full Name | Tyesha Bowen |
| Organization Legal Name | LAKESIDE MEDICAL LLC |
| Address |
600 N Hiatus Rd Suite 203 Pembroke Pines FL 33026-5207 |
| Phone Number | 9543927157 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789919028 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 600 N Hiatus Rd, Suite 203, Pembroke Pines, FL 33026-5207 | 9543927157 | LAKESIDE MEDICAL LLC |
| 600 N Hiatus Rd, Suite 203, Pembroke Pines, FL 33026-5207 | ARMANDO A DEFERIA MD PA | |
| 600 N Hiatus Rd, Suite 203, Pembroke Pines, FL 33026-5207 | LAKESIDE MEDICAL AND AESTHETIC CENTRE LC |
| Organization Legal Name | LAKESIDE MEDICAL LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Janson | Family Medicine | Lakeside Medical LLC | 600 N Hiatus Rd, Suite 203, Pembroke Pines, FL 33026-5207 |
| Armando A De Feria | Internal Medicine | Lakeside Medical LLC | 600 N Hiatus Rd, Suite 203, Pembroke Pines, FL 33026-5207 |
| Jennifer Nieves-cunningham | Nurse Practitioner | Lakeside Medical LLC | 600 N Hiatus Rd, Suite 203, Pembroke Pines, FL 33026-5207 |
| Street Address |
600 N HIATUS RD SUITE 203 |
| City | PEMBROKE PINES |
| State | FL |
| Zip | 33026-5207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry J Mark | Allergy/immunology | Allergy and Asthma Associates of South Florida Pa | 600 N Hiatus Rd, 215 Florida Center for Allergy and Asthma Care, Pembroke Pines, FL 33026-5207 |
| Antonio Reyes | Urology | 21st Century Oncology, LLC | 600 N Hiatus Rd, Suite 209, Pembroke Pines, FL 33026-5207 |
| Kfir Shamir | Allergy/immunology | Allergy and Asthma Associates of South Florida Pa | 600 N Hiatus Rd, 215 Florida Center for Allergy and Asthma Care, Pembroke Pines, FL 33026-5207 |
| Alex M Lam | Rheumatology | Alex M Lam Md Pa | 600 N Hiatus Rd, Suite 105, Pembroke Pines, FL 33026-5207 |
| Sandra L Rolfs | Physician Assistant | Allergy and Asthma Associates of South Florida Pa | 600 N Hiatus Rd, 215 Florida Center for Allergy and Asthma Care, Pembroke Pines, FL 33026-5207 |
| Inna Liberman | Physician Assistant | Allergy and Asthma Associates of South Florida Pa | 600 N Hiatus Rd, 215 Florida Center for Allergy and Asthma Care, Pembroke Pines, FL 33026-5207 |
| Megan E Janson | Family Medicine | Lakeside Medical LLC | 600 N Hiatus Rd, Suite 203, Pembroke Pines, FL 33026-5207 |
| Marlene Tages Cordova | Family Medicine | 600 N Hiatus Rd, Suite 201, Pembroke Pines, FL 33026-5207 | |
| Katia Carmona | Nurse Practitioner | Allergy and Asthma Associates of South Florida Pa | 600 N Hiatus Rd, 215 Florida Center for Allergy and Asthma Care, Pembroke Pines, FL 33026-5207 |
| Nina C Ramirez | Allergy/immunology | Asthma and Allergy Associates of Fl Pa | 600 N Hiatus Rd, Suite 102, Pembroke Pines, FL 33026-5207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse P Solotoff | Physical Therapy | 12239 Sheridan St, Hollywood, FL 33026-1441 | |
| Amanda J Dolif | Nurse Practitioner | Gastro Health, LLC | 11011 Sheridan St, Suite 109, Hollywood, FL 33026-1501 |
| Wendy J Gibson | Certified Registered Nurse Anesthetist (crna) | Galloway Anesthesia Associates LLC | 11011 Sheridan St, Suite 106, Hollywood, FL 33026-1501 |
| Meir M Baalhaness | Ophthalmology | Hollywood Eye Institute,pa | 11011 Sheridan St, Suite 215, Cooper City, FL 33026-1501 |
| Hilario Martinez | Interventional Radiology | 11011 Sheridan St, Suite 102, Hollywood, FL 33026-1501 | |
| Jeffrey Rosenker | Certified Registered Nurse Anesthetist (crna) | Galloway Anesthesia Associates LLC | 11011 Sheridan St, Suite 106, Hollywood, FL 33026-1501 |
| Steven R Linzer | Family Medicine | 11011 Sheridan St, Suite 105, Hollywood, FL 33026-1501 | |
| Anil Thomas Abraham | Anesthesiology | Galloway Anesthesia Associates LLC | 11011 Sheridan St, Suite 106, Hollywood, FL 33026-1501 |
| Paul E Bertrand | Certified Registered Nurse Anesthetist (crna) | Galloway Anesthesia Associates LLC | 11011 Sheridan St, Suite 106, Hollywood, FL 33026-1501 |
| Esther C Urueta | Certified Registered Nurse Anesthetist (crna) | Galloway Anesthesia Associates LLC | 11011 Sheridan St, Suite 106, Hollywood, FL 33026-1501 |
| Find all physicians in zip 33026 | |||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PEMBROKE PINES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tyesha Bowen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.