Individual ProviderVictor Nick HowardSpecialistOther Service ProvidersPractice Address4161 Tamiami Trl, Suite 802, Port Charlotte, FL 33952-9204(941) 625-6223PECOS EnrollmentBased on the most recent information from CMS, provider Victor Nick Howard does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:30 PM.Profile DetailsProvider ID1114961737Provider TypeIndividualFull NameHoward, Victor NickTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date6/15/2006Last Updated5/11/2011Contact InformationPractice LocationPractice Address4161 Tamiami Trl, Suite 802, Port Charlotte, FL 33952-9204Phone(941) 625-6223Fax(941) 627-2680Mailing LocationMailing Address4161 Tamiami Trl, Suite 802, Port Charlotte, FL 33952-9204Phone(941) 625-6223Fax(941) 627-2680Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseME53389FloridaProvider IdentifiersIDDescriptionIssuerIDME53389DescriptionOtherIssuerMEDICAL LICENSEFlorida