Individual
TAMMIE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 E 28TH AVE, TAMPA, FL 33605-1412
(813) 766-3546
(813) 490-5495
Mailing address
2605 E 28TH AVE, TAMPA, FL 33605-1412
(813) 766-3546
(813) 490-5495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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