MEDICARE: HARTMAN CENTER LLC

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	1041C0700X	Clinical Social Worker	SW8636	FL

General Provider Information

NPI Number	:	1538600598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARTMAN CENTER LLC

Provider Business Mailing Address
First Line	:	5935 US HIGHWAY 27 N
Second Line	:	SUITE 101
City	:	SEBRING
State	:	FL
Zip	:	33870-1200
Country	:	US
Telephone Number	:	863-451-6539
Fax Number	:

Provider Business Practice Location Address
First Line	:	5935 US HIGHWAY 27 N
Second Line	:	SUITE 101
City	:	SEBRING
State	:	FL
Zip	:	33870-1200
Country	:	US
Telephone Number	:	863-451-6539
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MR. MICHAEL C HARTMAN
Credential	:	L.C.S.W., C.A.P.
Telephone Number	:	863-451-6539

Provider Enumeration Date	:	03/10/2017
Last Update Date	:	03/23/2017

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