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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801115241 NPPES
Florida MEDICAID 021561300

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