Individual
CHERYL TORRANCE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDOC, ABO, NCLEC
Contact information
Practice address
7305 BROAD ST, BROOKSVILLE, FL 34601-3158
(352) 796-6366
(352) 796-4213
Mailing address
26206 WILLOW ST, BROOKSVILLE, FL 34601-4731
(352) 584-1542
(352) 796-4213
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3058
FL
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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