Provider Demographics
NPI:1356308639
Name:HOWELL, R RODNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:R
Middle Name:RODNEY
Last Name:HOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 NW 10TH AVE
Mailing Address - Street 2:626
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1012
Mailing Address - Country:US
Mailing Address - Phone:305-243-1073
Mailing Address - Fax:305-243-2704
Practice Address - Street 1:1501 NW 10TH AVE
Practice Address - Street 2:626
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1012
Practice Address - Country:US
Practice Address - Phone:305-243-1073
Practice Address - Fax:305-243-2704
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88059208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0613924-00Medicaid
FLD97414Medicare UPIN