Individual ProviderMikayla BowenInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1400 NW 12th Ave, Miami, FL 33136-1003(305) 325-5511(704) 699-2214PECOS EnrollmentBased on the most recent information from CMS, provider Mikayla Bowen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578302063Provider TypeIndividualFull NameBowen, MikaylaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/23/2024Last Updated5/23/2024Contact InformationPractice LocationPractice Address1400 NW 12th Ave, Miami, FL 33136-1003Phone(305) 325-5511FaxUnlisted FaxMailing LocationMailing Address1480 NW North River Dr Apt 2403, Miami, FL 33125-2881Phone(704) 699-2214FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense40018FloridaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense40018Florida