Individual
ASHLEY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C
Contact information
Practice address
8000 SR 64 #, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717
Mailing address
8000 SR 64 #, BRADENTON, FL 34212
(941) 792-1404
(941) 795-1717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106487
FL
363AS0400X
Surgical Physician Assistant
PA9106487
FL
Other
Enumeration date
03/06/2012
Last updated
05/25/2022
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