Basic Information
Provider Information
NPI: 1013157759
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWER
FirstName: TAMI
MiddleName: LYNN
NamePrefix: MR.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1324 LAKELAND HILLS BLVD
Address2: ATTN MANAGED CARE DEPT
City: LAKELAND
State: FL
PostalCode: 338054543
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1324 LAKELAND HILLS BLVD
Address2:  
City: LAKELAND
State: FL
PostalCode: 338054543
CountryCode: US
TelephoneNumber: 8636871321
FaxNumber: 8636036534
Other Information
ProviderEnumerationDate: 02/20/2009
LastUpdateDate: 07/08/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/08/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2086S0127XARNP9175552FLN Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
363LF0000XARNP9175552FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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