Provider Demographics
NPI:1174586903
Name:POPP, HOWARD WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:WILLIAM
Last Name:POPP
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:PO BOX 565100
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33256-5100
Mailing Address - Country:US
Mailing Address - Phone:305-275-9990
Mailing Address - Fax:305-275-9433
Practice Address - Street 1:8740 NORTH KENDAL DRIVE
Practice Address - Street 2:SUITE 114
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:305-275-9990
Practice Address - Fax:305-275-9433
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067692P207L00000X
FLME79177207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F90930Medicare UPIN
E8371Medicare ID - Type Unspecified