Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Elizabeth Mae Fowler, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1063576429

Dr. Elizabeth Mae Fowler, MD is a Pathology in Melbourne, Florida. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2006, 20 years ago. Practices with Great Lakes Pathologists SC, a 55-clinician group and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
20
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
FL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1350 Hickory St
Melbourne, FL 32901-3224
Phone: (321) 434-7191
Fax: (321) 434-5295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence ME151404 (FL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 7067820 (WI)

Record details

NPI number1063576429
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 20, 2006
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2006 (20 years in practice)
Group practice Great Lakes Pathologists Sc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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