Individual
MR. COREY DANIEL COWGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1430
(352) 273-5670
(352) 273-5683
Mailing address
PO BOX 100108, GAINESVILLE, FL 32610-0108
(352) 273-5670
(352) 273-5683
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117829
FL
Other
Enumeration date
05/22/2023
Last updated
09/12/2023
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