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

Justin Fowlkes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457085490

Justin Fowlkes is a Student in an Organized Health Care Education/Training Program in Tampa, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

15210 Amberly Dr Apt 715
Tampa, FL 33647-2188
Phone: (717) 825-8487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1457085490
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2022
Last updated in NPPESJuly 14, 2022
Certification dateJuly 14, 2022

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