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Fred Powell, M.D
NPI 1609078542 · on the registry since 2007 · sole proprietor
Practice
- Address
- 111 Nature Walk Parkway
Suite 108
St. Augustine, FL 32092 - Phone
- (904) 230-7180
- Fax
- (904) 230-7181
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2086S0122X
2086S0122X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-23
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