Healthcare Provider Details

I. General information

NPI: 1255339610
Provider Name (Legal Business Name): WILLIAM A HARR DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date: 03/16/2006
Reactivation Date: 03/30/2006

III. Provider practice location address

2020 HIGHWAY A1A SUITE 101
INDIAN HARBOUR BEACH FL
32937-3581
US

IV. Provider business mailing address

2020 HIGHWAY A1A SUITE 101
INDIAN HARBOUR BEACH FL
32937-3581
US

V. Phone/Fax

Practice location:
  • Phone: 321-777-4774
  • Fax: 321-777-4788
Mailing address:
  • Phone: 321-777-4774
  • Fax: 321-777-4788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO1681
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: