Derrick Bowling, MD | |
3516 Ne 12th Ave, Oakland Park, FL 33334-4524 | |
(954) 459-5487 | |
(954) 530-9774 |
Full Name | Derrick Bowling |
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Gender | Male |
Speciality | Family Medicine |
Location | 3516 Ne 12th Ave, Oakland Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184626277 | NPI | - | NPPES |
009984025 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 00025470 (Alabama) | Secondary |
207Q00000X | Family Medicine | 16-320 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | ME132532 (Florida) | Primary |
Entity Name | Jasper Family Practice Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275535361 PECOS PAC ID: 2163494139 Enrollment ID: O20040810000905 |
Mailing Address | Practice Location Address |
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Derrick Bowling, MD 3516 Ne 12th Ave, Oakland Park, FL 33334-4524 Ph: (954) 459-5487 | Derrick Bowling, MD 3516 Ne 12th Ave, Oakland Park, FL 33334-4524 Ph: (954) 459-5487 |
Mr. Darin L Bush, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 N Federal Hwy, Suite 201, Oakland Park, FL 33306 Phone: 954-816-1301 Fax: 954-840-8254 | |
Dr. Robert B Heglar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1164 E Oakland Park Blvd, 3rd Floor, Oakland Park, FL 33334 Phone: 954-561-6900 Fax: 954-568-7021 | |
Joshua Keith Fowler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1421 E Oakland Park Blvd Ste 200, Oakland Park, FL 33334 Phone: 954-565-0875 Fax: 954-565-0876 | |
Edwine Pierre Mathurin, ARNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1736 E Commercial Blvd, Oakland Park, FL 33334 Phone: 954-267-9696 | |
Dr. Kevin Abraham Ohayon, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 E Oakland Park Blvd, Oakland Park, FL 33334 Phone: 954-565-9966 Fax: 954-565-0535 | |
John R. Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1421 E Oakland Park Blvd, Suite 101, Oakland Park, FL 33334 Phone: 954-565-0875 Fax: 954-565-0876 |