Individual provider · Type 1 NPI

Justin Fowlkes

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1457085490 Active

Practice location

15210 Amberly Dr Apt 715
Tampa, FL 33647-2188

Call (717) 825-8487 Map

Mailing address

318 Logan St
Little River, SC 29566-5901

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1457085490

Justin Fowlkes's National Provider Identifier is 1457085490, issued on Jul 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Jul 14, 2022.