Herndon P Harding Jr Md Pa | |
2828 Casa Aloma Way Ste 200 Winter Park FL 32792-2266 | |
(407) 671-0057 | |
Not Available |
Full Name | Herndon P Harding Jr Md Pa |
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Speciality | Psychiatry & Neurology |
Location | 2828 Casa Aloma Way Ste 200, Winter Park, Florida |
Authorized Official Name and Position | Herndon Harding (OWNER) |
Authorized Official Contact | 4076710057 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Herndon P Harding Jr Md Pa 2828 Casa Aloma Way Ste 200 Winter Park FL 32792-2266 Ph: (407) 671-0057 | Herndon P Harding Jr Md Pa 2828 Casa Aloma Way Ste 200 Winter Park FL 32792-2266 Ph: (407) 671-0057 |
NPI Number | 1235408683 |
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Provider Enumeration Date | 12/14/2011 |
Last Update Date | 12/14/2011 |
Medicare PECOS PAC ID | 7315112612 |
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Medicare Enrollment ID | O20111215000330 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235408683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME74794 (Florida) | Primary |
Provider Name | Herndon Harding |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699737627 PECOS PAC ID: 9931295318 Enrollment ID: I20071017000055 |
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