| Harbor Physicians Llc | |
|
2140 Kingsley Ave Ste 1 Orange Park FL 32073-5129 | |
| (904) 368-6809 | |
| Not Available |
| Full Name | Harbor Physicians Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2140 Kingsley Ave Ste 1, Orange Park, Florida |
| Authorized Official Name and Position | Muhammad Akhtar (PRESIDENT) |
| Authorized Official Contact | 9043338467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Physicians Llc 225 College Dr Unit 65301 Orange Park FL 32065-7813 Ph: () - | Harbor Physicians Llc 2140 Kingsley Ave Ste 1 Orange Park FL 32073-5129 Ph: (904) 368-6809 |
| NPI Number | 1407549298 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 8325408784 |
|---|---|
| Medicare Enrollment ID | O20230717001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407549298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Muhammad I Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952624355 PECOS PAC ID: 4486942919 Enrollment ID: I20171108003125 |
| Provider Name | Osman Ismaeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689202574 PECOS PAC ID: 3173918075 Enrollment ID: I20230726004142 |
| Provider Name | Omer Ismaeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389469 PECOS PAC ID: 1456688423 Enrollment ID: I20230828003001 |
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