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Search › Florida › 106S00000X

Destiny Fowler

NPI 1073375663 · on the registry since 2024

Practice

Address
12276 San Jose Blvd Ste 508
Jacksonville, FL 32223
Phone
(904) 886-3228
Organisation at this address
Wellhealth Inc
Glenn Knox Md Psc
Krm Resources Llc
Dr. Rosann W. Faull Llc
Sheanas Care Support Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
534

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-29
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida