Howard, Fred I

Howard, Fred I is an sole proprietor health care provider with primary practice located at 451 S 11Th St , Lake Wales FL 33853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Howard, Fred I can be contacted via phone (863) 679-1986.

Contact Information

Primary practice address
451 S 11Th St Lake Wales FL 33853
Phone: (863) 679-1986
Fax: (863) 676-3126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME82331 Florida

Profile Details

NPI number 1447228614
LBN Legal business name Howard, Fred I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Sep 26th, 2019 - about 5 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 1447228614 NPPES
Florida Other 020051510 MEDICARE ID/RRM PIN
Florida MEDICAID 261553300 MEDICARE ID/RRM PIN

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