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Justin Fowlkes
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1457085490

Justin Fowlkes is a Student in an Organized Health Care Education/Training Program based in Little River, FL. Justin Fowlkes practices in Tampa, FL. The NPI Number for Justin Fowlkes is 1457085490 and holds a License No. (Florida).

The current practice location address for Justin Fowlkes is 15210 Amberly Dr Apt 715, Tampa, FL and can be reached out via phone at 717-825-8487.

Location: 15210 Amberly Dr Apt 715, Tampa, FL, 29566-5901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457085490
Provider Name
Justin Fowlkes
Credential
Provider Entity Type
Individual
Gender
Male
Address
15210 Amberly Dr Apt 715, Tampa, FL, 29566-5901
Phone Number
717-825-8487
Fax Number
Provider Enumeration Date
07/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15210 Amberly Dr Apt 715
City
Tampa
State
Florida
Zip
33647-2188
Phone Number
717-825-8487
Fax Number
person
Provider Business Mailing Address Details
Address
15210 Amberly Dr Apt 715
City
Tampa
State
Florida
Zip
33647-2188
Phone Number
717-825-8487
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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