Healthcare Provider Details

I. General information

NPI: 1134315443
Provider Name (Legal Business Name): JAMES W HOWELL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W MAIN AVE
DEFUNIAK SPRINGS FL
32435-2529
US

IV. Provider business mailing address

21 W MAIN AVE
DEFUNIAK SPRINGS FL
32435-2529
US

V. Phone/Fax

Practice location:
  • Phone: 850-892-2888
  • Fax: 850-892-2405
Mailing address:
  • Phone: 850-892-2888
  • Fax: 850-892-2405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License NumberOS7047
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS0007047
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: