# INSTITUTE OF MEDICAL EXCELLENCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770818601
- **Authorized official:** DR. KINLEY WAYNE HOWARD DPM, CRNA (PRESIDENT)
- **Authorized official phone:** (850) 892-4248

## Contact information

- **Practice address:** 101 MICROSPINE WAY, DEFUNIAK SPRINGS, FL 32435
- **Practice address phone:** (850) 892-4248
- **Mailing address:** PO BOX 1262, DEFUNIAK SPRINGS, FL 32435-1262
- **Mailing address phone:** (850) 892-4248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO2112 | FL | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | ARNP2539562 | FL | — |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 10/09/2009