Individual
DANIEL ROBERT FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1285 ORANGE AVE, WINTER PARK, FL 32789-4984
(407) 647-2287
(407) 643-2801
Mailing address
1285 ORANGE AVE, WINTER PARK, FL 32789-4984
(407) 647-2287
(407) 643-2801
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9119475
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/09/2023
Last updated
01/20/2025
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