Prowler, Vanessa L
Prowler, Vanessa L is an individual health care provider with primary practice located at 3525 Lakeland Hills Blvd , Lakeland FL 33805-1965. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Prowler, Vanessa L can be contacted via phone (863) 603-6565.Contact Information
Primary practice address
3525 Lakeland Hills Blvd
Lakeland FL 33805-1965
Phone: (863) 603-6565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME115554 | Florida |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | ME115554 | Florida |
Profile Details
| NPI number | 1801115241 |
|---|---|
| LBN Legal business name | Prowler, Vanessa L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2010 |
| Last updated | Jul 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801115241 | NPPES |
| Florida | MEDICAID | 021561300 |
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