Healthcare Provider Details

I. General information

NPI: 1144255720
Provider Name (Legal Business Name): PAUL T HARRINGTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 OAKLEY SEAVER DR SUITE 1
CLERMONT FL
34711-1902
US

IV. Provider business mailing address

PO BOX 919023
ORLANDO FL
32891-9023
US

V. Phone/Fax

Practice location:
  • Phone: 352-404-7718
  • Fax: 352-404-7723
Mailing address:
  • Phone: 352-404-7718
  • Fax: 352-404-7723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberE-2565
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberME118844
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME118844
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: