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Individual

DR. HOWARD HUFF FAWLEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 NORTH CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2733
(386) 676-7130
(386) 676-7125
Mailing address
P.O. BOX 9671, DAYTONA BEACH, FL 32120-9671
(386) 676-7130
(386) 676-7125

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11237
HI
2085R0202X
Diagnostic Radiology Physician
19471
NC
2085R0202X
Diagnostic Radiology Physician
3120
AK
2085R0202X
Diagnostic Radiology Physician
9794
MT
2085R0202X
Diagnostic Radiology Physician
MD00039327
WA
2085R0202X
Diagnostic Radiology Physician
Primary
ME 26904
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265746500
FL
Enumeration date
02/01/2006
Last updated
10/20/2010
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