MEDICARE: MS. DENISE CHARLENE HOWISON

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	174400000X	Specialist	H250163757440	FL

General Provider Information

NPI Number	:	1487669214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE CHARLENE HOWISON

Provider Business Mailing Address
First Line	:	4361 W 11TH LN
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7715
Country	:	US
Telephone Number	:	786-897-9969
Fax Number	:

Provider Business Practice Location Address
First Line	:	1477 NW 8TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1425
Country	:	US
Telephone Number	:	305-547-2500
Fax Number	:	305-547-2673

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

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	07/08/2007

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