Organization · Type 2 NPI
Derrick Bowling MD PA
Primary Care Clinic/Center · Oakland Park, FL
NPI number
1770118655
Active
Practice location
3516 NE 12th Ave
Oakland Park, FL 33334-4524
Mailing address
308 NE 22nd St
Wilton Manors, FL 33305-1115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1770118655
Derrick Bowling MD PA's National Provider Identifier is 1770118655, issued on Mar 11, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Oakland Park, FL. The record was last updated on Mar 11, 2020.