DR. HOWARD HUFF FAWLEY JR. (NPI# 1437120854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437120854 |
| Entity Type | Individual |
| Full Name | DR. HOWARD HUFF FAWLEY JR. |
| Credential | M.D. |
| Practice Address |
350 North Clyde Morris Blvd Daytona Beach FL 32114-2733 |
| Mailing Address |
P.o. Box 9671 Daytona Beach FL 32120-9671 |
| Practice Telephone | 3866767130 |
| Practice Fax Number | 3866767125 |
| Mailing Telephone | 3866767130 |
| Mailing Fax Number | 3866767125 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00039327 | WA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
9794 | MT | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
11237 | HI | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
3120 | AK | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
19471 | NC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME 26904 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 265746500 | 05 |
| Street Address |
350 NORTH CLYDE MORRIS BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720391568 | Ameneh Mashayekh | Radiology | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2010-07-21 |
| 1558484956 | Charles Robert Dearmas Jr. | Radiology | 350 N. Clyde Morris Blvd., Suite D, Daytona Beach, FL 32114-2733 | 2007-04-09 |
| 1558463950 | Krishnan - Gopal | Radiology | 551 National Health Care Drive, Daytona Beach, FL 32114 | 2006-09-05 |
| 1922115914 | Memorial Health Systems Inc | Radiology | 305 Memorial Medical Pkwy Ste 205, Daytona Beach, FL 32117-5169 | 2006-08-24 |
| 1396701165 | Neville Ramchander | Radiology | 3000 N Atlantic Ave, Unit #4, Daytona Beach, FL 32118-3019 | 2006-04-21 |
| 1609832419 | Ormond Radiology Partnership LLC | Radiology | 201 Bill France Blvd, Daytona Beach, FL 32114-1316 | 2006-04-21 |
| 1336566330 | Jessica Riotti | Radiology | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2014-03-27 |
| 1841621117 | Preferred Radiology Alliance, Pllc | Radiology | 1673 Mason Ave, Suite 305, Daytona Beach, FL 32117-5515 | 2013-12-11 |
| 1710230982 | Joshua Phillip Zeidenberg | Radiology | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2012-10-24 |
| 1801153325 | Dana Amiraian | Radiology | 1673 Mason Ave Ste 305, Daytona Beach, FL 32117-5516 | 2012-04-20 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.