Individual
MRS. IDA NADINE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
701 VICTORIA ST, BRANDON, FL 33510-4100
(813) 681-4220
Mailing address
1031 BRIDLEWOOD WAY, BRANDON, FL 33511-6250
(813) 681-3203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
653
FL
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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