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Individual

JEREMY DONALD HOWARTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1540 S TAMIAMI TRL, SUITE 303, SARASOTA, FL 34239-2930
(941) 917-8791
(941) 917-8793
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33181
BCBS
FL
Enumeration date
08/05/2013
Last updated
06/02/2016
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