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Contact Information

CHRISTINE A DAVIS FOWLER, PHYSICIAN ASSISTANT
4410 W. OAKLAND PARK BLVD
LAUDERDALE LAKES, FL33313
 Phone: 954-533-5900
 Fax: 954-533-3005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CHRISTINE A DAVIS FOWLER · (Female)

NPI Number 1366501009
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 12/08/2006
Last updated 04/11/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PA9102369
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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