Provider Demographics
NPI:1215959739
Name:HOWARD, JOSEPH STANLEY (PA)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:STANLEY
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:2155 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4514
Mailing Address - Country:US
Mailing Address - Phone:772-223-9630
Mailing Address - Fax:772-223-9680
Practice Address - Street 1:1859 PSL BLVD
Practice Address - Street 2:LUMAR PLAZA
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952
Practice Address - Country:US
Practice Address - Phone:772-335-4442
Practice Address - Fax:772-335-4449
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2021-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9102738363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
U2811XOtherWELLMED MANAGEMENT OF FLORIDA INC
FLQ19375Medicare UPIN