Provider Demographics
NPI:1447241328
Name:HOWE, WILLIAM LAWRENCE II (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LAWRENCE
Last Name:HOWE
Suffix:II
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 1:1573 NANTAHALA BEACH RD
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-8963
Mailing Address - Country:US
Mailing Address - Phone:850-934-3311
Mailing Address - Fax:850-934-0733
Practice Address - Street 1:1573 NANTAHALA BEACH RD
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-8963
Practice Address - Country:US
Practice Address - Phone:850-934-3311
Practice Address - Fax:850-934-0733
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0062230207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
18625Medicare PIN
C31421Medicare UPIN