Healthcare Provider Details

I. General information

NPI: 1043459126
Provider Name (Legal Business Name): HOWARD WILLIAM POPP MD P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2009
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8740 N KENDALL DR SUITE 114
MIAMI FL
33176-2212
US

IV. Provider business mailing address

PO BOX 565100
MIAMI FL
33256-5100
US

V. Phone/Fax

Practice location:
  • Phone: 305-275-9990
  • Fax: 305-275-9433
Mailing address:
  • Phone: 305-275-9990
  • Fax: 305-275-9433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: HOWARD W POPP
Title or Position: PRESIDENT
Credential: MD
Phone: 305-275-9990