Daniel Robert Fowler, PA-C
Physician Assistant, Surgical in Winter Park, FL. Individual provider (NPI-1).
NPI number1710691399
StatusActive
Last updated in NPPESJan 20, 2025
Details
- NPI
- 1710691399
- Entity type
- Individual (NPI-1)
- Name
- Daniel Robert Fowler
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2023
- Certification date
- Jan 20, 2025
- Last updated
- Jan 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA9119475 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1285 Orange AveWinter Park, FL 32789-4984
Phone 407-647-2287 · Fax 407-643-2801
Mailing address
1285 Orange AveWinter Park, FL 32789-4984
Phone 407-647-2287 · Fax 407-643-2801
Other practice locations
13300 Sw 17th Ct
Miramar, FL 33027-3421
Miramar, FL 33027-3421
Phone 305-205-1671
701 Platinum Pt
Lake Mary, FL 32746-4871
Lake Mary, FL 32746-4871
Phone 407-206-4500 · Fax 407-643-2802
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