Provider Demographics
NPI:1699984955
Name:LATHAM, (HOWARD) KEITH (AP)
Entity type:Individual
Prefix:DR
First Name:(HOWARD)
Middle Name:KEITH
Last Name:LATHAM
Suffix:
Gender:M
Credentials:AP
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:KEITH
Other - Last Name:LATHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:L AC, DIPL CH
Mailing Address - Street 1:13969 152ND RD N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-3556
Mailing Address - Country:US
Mailing Address - Phone:561-741-4446
Mailing Address - Fax:561-691-1772
Practice Address - Street 1:5610 PGA BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3838
Practice Address - Country:US
Practice Address - Phone:561-741-4446
Practice Address - Fax:561-691-1772
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP896171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist