Basic Information
Provider Information | |||||||||
NPI: | 1902906266 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | PFLANZER | ||||||||
FirstName: | HARVEY | ||||||||
MiddleName: | ALAN | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | PFLANZER | ||||||||
OtherFirstName: | HARVEY | ||||||||
OtherMiddleName: | ALAN | ||||||||
OtherNamePrefix: | DR. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | D.O. | ||||||||
OtherLastNameType: | 2 | ||||||||
Mailing Information | |||||||||
Address1: | 6271 NW 58TH WAY | ||||||||
Address2: |   | ||||||||
City: | PARKLAND | ||||||||
State: | FL | ||||||||
PostalCode: | 330674443 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9542612835 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 5130 LINTON BLVD | ||||||||
Address2: | E-3 | ||||||||
City: | DELRAY BEACH | ||||||||
State: | FL | ||||||||
PostalCode: | 334846596 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5614954580 | ||||||||
FaxNumber: | 5614960541 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/25/2006 | ||||||||
LastUpdateDate: | 10/13/2015 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | OS6597 | FL | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 208M00000X | A-1894-15 | NM | Y |   | Allopathic & Osteopathic Physicians | Hospitalist |   |
No ID Information.