MEDICARE: IRA HARMON MD PA

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	174400000X	Specialist	ME0033826	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770884009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRA HARMON MD PA

Provider Business Mailing Address
First Line	:	5685 NORWOOD AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-5012
Country	:	US
Telephone Number	:	904-765-8838
Fax Number	:	904-765-8839

Provider Business Practice Location Address
First Line	:	5685 NORWOOD AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-5012
Country	:	US
Telephone Number	:	904-765-8838
Fax Number	:	904-765-8839

Authorized Official
Title or Position	:	OWNER
Name	:	IRA HARMON
Credential	:	MD
Telephone Number	:	904-765-8838

Provider Enumeration Date	:	11/03/2010
Last Update Date	:	12/23/2020

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Directions to “IRA HARMON MD PA ” Practice Location

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