Healthcare Provider Details

I. General information

NPI: 1821014747
Provider Name (Legal Business Name): JAY M HARVEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 GLADES RD STE 460
BOCA RATON FL
33431-6469
US

IV. Provider business mailing address

660 GLADES RD STE 460
BOCA RATON FL
33431-6469
US

V. Phone/Fax

Practice location:
  • Phone: 727-421-2944
  • Fax:
Mailing address:
  • Phone: 772-421-2944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME58972
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: