Provider Demographics
NPI:1477575801
Name:DOYLE, HOWARD A JR (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:A
Last Name:DOYLE
Suffix:JR
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 1:1330 THATCH PALM DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7531
Mailing Address - Country:US
Mailing Address - Phone:561-392-2443
Mailing Address - Fax:561-392-4942
Practice Address - Street 1:1330 THATCH PALM DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7531
Practice Address - Country:US
Practice Address - Phone:561-392-2443
Practice Address - Fax:561-392-4942
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25370174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50741Medicare ID - Type Unspecified
FLD55815Medicare UPIN