Individual
GAIL MARIE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2001 SIESTA DR STE 201, SARASOTA, FL 34239-5200
(813) 321-1786
(813) 321-1787
Mailing address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000571
CT
363A00000X
Physician Assistant
Primary
PA9106446
FL
Other
Enumeration date
09/16/2005
Last updated
04/27/2023
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