Provider Demographics
NPI:1225351752
Name:HOWARD L. OFFENBERG, MD,PL
Entity Type:Organization
Organization Name:HOWARD L. OFFENBERG, MD,PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAIN
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:OFFENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-673-7227
Mailing Address - Street 1:40 SW 12TH ST
Mailing Address - Street 2:UNIT C101
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-6525
Mailing Address - Country:US
Mailing Address - Phone:352-351-3868
Mailing Address - Fax:352-351-3847
Practice Address - Street 1:325 CLYDE MORRIS BLVD
Practice Address - Street 2:SUITE 350
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8178
Practice Address - Country:US
Practice Address - Phone:386-673-7227
Practice Address - Fax:386-673-9940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0058274207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty