Individual
CHRISTINE ANNMARIE DAVIS-FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4410 W. OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313
(954) 533-5900
(954) 533-3005
Mailing address
599 S FEDERAL HWY, DANIA BEACH, FL 33004-4107
(954) 920-4911
(954) 922-9308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102369
FL
Other
Enumeration date
12/08/2006
Last updated
04/11/2011
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