Powell, Fred Joe

Powell, Fred Joe is an sole proprietor health care provider with primary practice located at 111 Nature Walk Parkway Suite 108, St. Augustine FL 32092. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Powell, Fred Joe can be contacted via phone (904) 230-7180.

Contact Information

Primary practice address
111 Nature Walk Parkway Suite 108 St. Augustine FL 32092
Phone: (904) 230-7180
Fax: (904) 230-7181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME 80996 Florida

Profile Details

NPI number 1609078542
LBN Legal business name Powell, Fred Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2007
Last updated Jul 23rd, 2010 - about 16 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.

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