Provider Demographics
NPI:1164532925
Name:OFFENBERG, HOWARD L (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:L
Last Name:OFFENBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 SW 12TH STREET
Mailing Address - Street 2:UNIT C101
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474
Mailing Address - Country:US
Mailing Address - Phone:352-351-3868
Mailing Address - Fax:352-351-3847
Practice Address - Street 1:325 N CLYDE MORRIS BLVD
Practice Address - Street 2:STE 350
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174
Practice Address - Country:US
Practice Address - Phone:386-673-7227
Practice Address - Fax:386-673-9940
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME58274207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
12256Medicare ID - Type Unspecified
E84540Medicare UPIN