Provider Demographics
NPI:1306939814
Name:BUELLER, HOWARD ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ADAM
Last Name:BUELLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5258 LINTON BLVD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484
Mailing Address - Country:US
Mailing Address - Phone:561-498-2911
Mailing Address - Fax:561-496-0282
Practice Address - Street 1:5258 LINTON BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:561-498-2911
Practice Address - Fax:561-496-0282
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78255207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLW11820Medicare UPIN