Provider Demographics
NPI:1770611766
Name:GREGORY J HOWELL MD PA
Entity type:Organization
Organization Name:GREGORY J HOWELL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-598-4330
Mailing Address - Street 1:4940 E FORT KING ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-1504
Mailing Address - Country:US
Mailing Address - Phone:352-598-4330
Mailing Address - Fax:352-694-6848
Practice Address - Street 1:4940 E FORT KING ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-1504
Practice Address - Country:US
Practice Address - Phone:352-598-4330
Practice Address - Fax:352-694-6848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00335832084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL209385OtherAVMED
FLDF8538OtherRAIL ROAD MEDICARE
FL0651753000Medicaid
FL42148OtherBCBS
FLD54781Medicare UPIN
FL209385OtherAVMED