Basic Information
| Provider Information | |||||||||
| NPI: | 1396182630 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARP DIAGNOSTICS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1685 | ||||||||
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| City: | JUPITER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334681685 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5617482889 | ||||||||
| FaxNumber: | 5617481523 | ||||||||
| Practice Location | |||||||||
| Address1: | 2655 N OCEAN DR | ||||||||
| Address2: | 103 | ||||||||
| City: | RIVIERA BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334044751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5615940206 | ||||||||
| FaxNumber: | 5615122873 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2013 | ||||||||
| LastUpdateDate: | 01/14/2016 | ||||||||
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| AuthorizedOfficialLastName: | WALDRON | ||||||||
| AuthorizedOfficialFirstName: | SANDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING CONTACT | ||||||||
| AuthorizedOfficialTelephone: | 5613006909 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RA0401X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Addiction Medicine |
No ID Information.