MEDICARE: MATTHEW HOWELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	042427	CT
2	207P00000X	Emergency Medicine Physician	ME105917	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	146U4	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235137274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW HOWELL MD

Provider Business Mailing Address
First Line	:	PO BOX 10030
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32120-0030
Country	:	US
Telephone Number	:	386-274-7800
Fax Number	:	386-274-7801

Provider Business Practice Location Address
First Line	:	3001 W DR MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6307
Country	:	US
Telephone Number	:	813-870-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	02/11/2011

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