Healthcare Provider Details

I. General information

NPI: 1851236962
Provider Name (Legal Business Name): JOHN A HARDY
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13777 BELCHER RD S STE 200
LARGO FL
33771-4027
US

IV. Provider business mailing address

3665 E BAY DR STE 204
LARGO FL
33771-1989
US

V. Phone/Fax

Practice location:
  • Phone: 727-280-6643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: