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Tom Mowery, CPO, LPO

NPI 1912031154 · on the registry since 2007 · sole proprietor

Practice

Address
602 W Indian River Blvd Ste 4
Edgewater, FL 32132
Phone
(386) 409-9432
Fax
(386) 409-9433
Organisation at this address
Shoreline Medical Addiction Treatment Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
224P00000X
224P00000X
Also registered as
222Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida