Individual
DR. PRISCILLA GOODWYN FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23473
AL
207W00000X
Ophthalmology Physician
442125
PA
207W00000X
Ophthalmology Physician
ME90933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271326800
—
FL
01
—
5865700001
MEDICARE DME
FL
Enumeration date
07/01/2005
Last updated
07/22/2024
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