Harmon, Walter Alan

Harmon, Walter Alan is an individual health care provider with primary practice located at 3 Shircliff Way Suite 400, Jacksonville FL 32204-4757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Harmon, Walter Alan can be contacted via phone (904) 381-9379.

Contact Information

Primary practice address
3 Shircliff Way Suite 400 Jacksonville FL 32204-4757
Phone: (904) 381-9379
Fax: (904) 381-9314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME38382 Florida

Profile Details

NPI number 1972501633
LBN Legal business name Harmon, Walter Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 23rd, 2011 - about 13 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972501633 NPPES
Florida MEDICAID 065379900

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