MEDICARE: HOWARD LOFF 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	207W00000X	Ophthalmology Physician	ME68216	FL

General Provider Information

NPI Number	:	1730577834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWARD LOFF MD

Provider Business Mailing Address
First Line	:	1057 BEACH AVE
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-5753
Country	:	US
Telephone Number	:	904-247-7899
Fax Number	:

Provider Business Practice Location Address
First Line	:	1057 BEACH AVE
Second Line	:
City	:	ATLANTIC BEACH
State	:	FL
Zip	:	32233-5753
Country	:	US
Telephone Number	:	904-247-7899
Fax Number	:

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

Provider Enumeration Date	:	12/26/2014
Last Update Date	:	12/26/2014

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