Individual
DR. ELIZABETH MAE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7191
(321) 434-5295
Mailing address
PO BOX 526845, MIAMI, FL 33152-6845
(321) 434-7191
(321) 434-5295
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
7067820
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME151404
FL
Other
Enumeration date
12/20/2006
Last updated
03/22/2023
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