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Contact Information

LARRY J FOWLER, MD
1600 SW ARCHER RD
GAINESVILLE, FL32610-3003
 Phone: 352-265-0238
 Fax: 352-265-0437
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LARRY J FOWLER · (Male)

NPI # 1417064403
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2006
Last updated 12/17/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME105199
  • TX License # J4806
  • FL Medicaid 001415400
  • TX Medicaid 103887902
  • TX Other 103887901 CSHCN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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