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Organization

DERRICK BOWLING MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DERRICK BOWLING MD (MD/OWNER)
(205) 388-8863
Entity
Organization

Contact information

Practice address
3516 NE 12TH AVE, OAKLAND PARK, FL 33334-4524
(954) 459-5487
Mailing address
308 NE 22ND ST, WILTON MANORS, FL 33305-1115
(205) 388-8863

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
03/11/2020
Last updated
03/11/2020
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