Healthcare Provider Details

I. General information

NPI: 1790484053
Provider Name (Legal Business Name): YVETTE HOWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2023
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4774 W COMMERCIAL BLVD
TAMARAC FL
33319-2878
US

IV. Provider business mailing address

9700 NW 52ND MNR
CORAL SPRINGS FL
33076-2486
US

V. Phone/Fax

Practice location:
  • Phone: 754-222-0893
  • Fax: 866-333-7921
Mailing address:
  • Phone: 954-778-8676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11024604
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: