Harcourt, Roger Lee
Harcourt, Roger Lee is an individual health care provider with primary practice located at 3240 S Florida Ave Ste 105 , Lakeland FL 33803-4574. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Orthopedic. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Harcourt, Roger Lee can be contacted via phone (863) 646-4000.Contact Information
Primary practice address
3240 S Florida Ave Ste 105
Lakeland FL 33803-4574
Phone: (863) 646-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD072508L | Pennsylvania |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2008 00631 | North Carolina |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME95059 | Florida |
Chiropractic Providers / Rehabilitation | 111NR0400X | AJ002516L | Pennsylvania |
Chiropractic Providers / Orthopedic | 111NX0800X | DC-002516-L | Pennsylvania |
Profile Details
NPI number | 1831300532 |
---|---|
LBN Legal business name | Harcourt, Roger Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2007 |
Last updated | May 17th, 2024 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831300532 | NPPES |
Florida | MEDICAID | 280176100 | |
Florida | Other | P00737666 |
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