Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH9358 | FL |
NPI | 1003010471 |
---|---|
Provider Name | Dr. Anthony Howe |
First Address | South Daytona, FL 32119-1824 |
Second Address | South Daytona, FL 32119-1824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 31/07/2012 |