Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christine Annmarie Davis-Fowler, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1366501009

Christine Annmarie Davis-Fowler, PHYSICIANASSISTANT is a Physician Assistant in Lauderdale Lakes, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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Practice location Address checks out

4410 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone: (954) 533-5900
Fax: (954) 533-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102369 (FL)

Record details

NPI number1366501009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedDecember 8, 2006
Last updated in NPPESApril 11, 2011

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