Healthcare Provider Details

I. General information

NPI: 1013276609
Provider Name (Legal Business Name): KYLE HARVEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2012
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7119 LANGLEY ST STE 185
MILTON FL
32570-6105
US

IV. Provider business mailing address

7119 LANGLEY ST STE 185
MILTON FL
32570-6105
US

V. Phone/Fax

Practice location:
  • Phone: 850-623-7558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME158195
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101254463
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: