Provider Demographics
NPI:1013425727
Name:HOWELL, LATOYA CAMAY (APRN)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:CAMAY
Last Name:HOWELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1605 RENAISSANCE COMMONS BLVD
Mailing Address - Street 2:428
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426
Mailing Address - Country:US
Mailing Address - Phone:561-598-0558
Mailing Address - Fax:561-634-2004
Practice Address - Street 1:1485 GATEWAY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8313
Practice Address - Country:US
Practice Address - Phone:561-572-3227
Practice Address - Fax:561-572-3228
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9319636363LA2200X, 363LF0000X
FLARNP9319636207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024893500Medicaid