Healthcare Provider Details

I. General information

NPI: 1881666089
Provider Name (Legal Business Name): DANIEL G HARWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ESTRADA RD JUPITER ISLAND CLINIC
HOBE SOUND FL
33455
US

IV. Provider business mailing address

2390 BAYVIEW LANE
NORTH MIAMI FL
33181
US

V. Phone/Fax

Practice location:
  • Phone: 772-546-3751
  • Fax: 772-545-0999
Mailing address:
  • Phone: 305-891-3121
  • Fax: 305-891-2658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberFL ME 012303
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: