Organization
NOVEM DERMATOLOGY, P.A.
Active
Organization
NOVEM DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MARIE HOWE MD (OWNER/PHYSICIAN)
(813) 927-1915
Entity
Organization
Contact information
Practice address
17653 N DALE MABRY HWY, LUTZ, FL 33548-4535
(813) 590-2120
(813) 590-2125
Mailing address
17653 N DALE MABRY HWY, LUTZ, FL 33548-4535
(813) 590-2120
(813) 590-2125
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME114420
FL STATE LICENSE
FL
Enumeration date
11/18/2020
Last updated
12/30/2020
Update your record
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