Healthcare Provider Details

I. General information

NPI: 1942409909
Provider Name (Legal Business Name): ROBERT CHARLES HOWARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 02/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43309 US HIGHWAY 19 N
TARPON SPRINGS FL
34689-6221
US

IV. Provider business mailing address

43309 US HIGHWAY 19 N
TARPON SPRINGS FL
34689-6221
US

V. Phone/Fax

Practice location:
  • Phone: 727-943-3111
  • Fax: 727-943-3334
Mailing address:
  • Phone: 727-943-3111
  • Fax: 727-943-3334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME120682
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: