MEDICARE: DR. HARLAN CLAYTON BIELEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	ME66700	FL

General Provider Information

NPI Number	:	1376627067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARLAN CLAYTON BIELEY MD

Provider Business Mailing Address
First Line	:	8295 N MILITARY TRL STE K
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6312
Country	:	US
Telephone Number	:	561-842-7422
Fax Number	:	561-842-0848

Provider Business Practice Location Address
First Line	:	11380 PROSPERITY FARMS RD STE 114
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3464
Country	:	US
Telephone Number	:	561-842-7422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	08/15/2024

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