Provider Demographics
NPI:1891405536
Name:HOWARD, RICHARD CARL JR
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:CARL
Last Name:HOWARD
Suffix:JR
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:RICHARD
Other - Middle Name:CARL
Other - Last Name:HOWARD
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6429 LAKEWOOD DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-8109
Mailing Address - Country:US
Mailing Address - Phone:678-362-4811
Mailing Address - Fax:
Practice Address - Street 1:6429 LAKEWOOD DR UNIT B
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-8109
Practice Address - Country:US
Practice Address - Phone:678-362-4811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)