| Mark T Howell Do Pa | |
|
5651 49th St N St Petersburg FL 33709-2105 | |
| (727) 520-0615 | |
| (727) 520-8457 |
| Full Name | Mark T Howell Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 5651 49th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Mark T Howell (OWNER) |
| Authorized Official Contact | 8138908004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Howell Do Pa 5651 49th St N St Petersburg FL 33709-2105 Ph: (727) 520-0615 | Mark T Howell Do Pa 5651 49th St N St Petersburg FL 33709-2105 Ph: (727) 520-0615 |
| NPI Number | 1275840084 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 05/01/2012 |
| Medicare PECOS PAC ID | 3870740608 |
|---|---|
| Medicare Enrollment ID | O20120829000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275840084 | NPI | - | NPPES |
| 252416300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0007044 (Florida) | Primary |
| Provider Name | Mark T Howell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962426288 PECOS PAC ID: 7719134568 Enrollment ID: I20120829000633 |
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