Individual provider · Type 1 NPI
Derrick Fokala
Student in an Organized Health Care Education/Training Program · Largo, MD
NPI number
1609717511
Active
Practice location
901 Harry S Truman Dr N
Largo, MD 20774-5477
Fax (240) 677-0028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1609717511
Derrick Fokala's National Provider Identifier is 1609717511, issued on Apr 3, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Largo, MD. The record was last updated on Apr 3, 2026.