Basic Information
| Provider Information | |||||||||
| NPI: | 1710996210 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWINGTON | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 95429 BARNWELL RD | ||||||||
| Address2: | |||||||||
| City: | FERNANDINA BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320341698 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9043213533 | ||||||||
| FaxNumber: | 5177877365 | ||||||||
| Practice Location | |||||||||
| Address1: | 95429 BARNWELL RD | ||||||||
| Address2: | |||||||||
| City: | FERNANDINA BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 320341698 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9043213533 | ||||||||
| FaxNumber: | 5177877365 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2006 | ||||||||
| LastUpdateDate: | 12/17/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | ME68553 | FL | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 041315 | GA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.