Timothy Dale Fowler in Orlando - Physician Assistant
Timothy Dale Fowler - NPI 1073532404
Timothy Dale Fowler is a Physician Assistant in Orlando, Florida. Timothy Dale Fowler practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Timothy Dale Fowler is 1073532404. The last update date is 2023-06-02.
Timothy Dale Fowler's current location address is 601 E Rollins St, Orlando, Florida. You can contact this provider via phone number 4075435732. The mailing address for Timothy Dale Fowler is 601 E Rollins St, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Dale Fowler |
|---|---|
| Address | 601 E Rollins St, Orlando, Florida |
| Phone Number | 4075435732 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1073532404 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2023-06-02 |
Provider Mailing Address Detail
| Address | 601 E Rollins St |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328031248 |
| Phone Number | 4075435732 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3482 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 22250400 | FL | -- | |
| 100002664B | GA | -- |
Post Comment/ Review Below
What is the Timothy Dale Fowler's unique identification number?
The Timothy Dale Fowler has been assigned the NPI (National Provider Identifier) Number 1073532404 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Timothy Dale Fowler located?
The Timothy Dale Fowler is located at 601 E Rollins St, Orlando, FL 328031248.
What is Timothy Dale Fowler's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Dale Fowler's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073532404 to Timothy Dale Fowler?
The Centers for Medicare & Medicaid Services assigned the 1073532404 to Timothy Dale Fowler on 2006-07-18.
As of what date were the Timothy Dale Fowler's details last updated?
The information pertaining to the Timothy Dale Fowler, including its address, specialty, and other details, was most recently updated on 2023-06-02.