Individual
IAN WINSTON FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 NW 10TH AVE STE T-215, MIAMI, FL 33136-1018
(602) 619-0123
Mailing address
1800 NW 10TH AVE STE T-215, MIAMI, FL 33136-1018
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1055
NE
207P00000X
Emergency Medicine Physician
Primary
19231
FL
Other
Enumeration date
04/19/2012
Last updated
10/05/2022
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