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Contact Information

DONNA BOWEN MORTLOCK
11911 NW 34TH PL
SUNRISE, FL33323-1235
 Phone: 954-224-3217
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hemodialysis

163WH0500X
Indicates primary specialty

NPI Profile & details for DONNA BOWEN MORTLOCK · (Female)

NPI # 1366335879
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2025
Last updated 06/02/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # 9449444
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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