Basic Information
Provider Information
NPI: 1942330493
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWARD
FirstName: MONICA
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 250 S AUSTRALIAN AVE
Address2: SUITE 400
City: WEST PALM BEACH
State: FL
PostalCode: 33401
CountryCode: US
TelephoneNumber: 5618058500
FaxNumber: 5618058501
Practice Location
Address1: 18300 NE 19TH AVENUE
Address2:  
City: NORTH MIAMI BEACH
State: FL
PostalCode: 33179
CountryCode: US
TelephoneNumber: 3059497273
FaxNumber: 3059498025
Other Information
ProviderEnumerationDate: 03/06/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XPA0003215FLY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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