Healthcare Provider Details

I. General information

NPI: 1831226158
Provider Name (Legal Business Name): CHAD HARVEY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SE OCEAN BLVD SUITE F150
STUART FL
34994-2471
US

IV. Provider business mailing address

900 SE OCEAN BLVD SUITE F150
STUART FL
34994-2471
US

V. Phone/Fax

Practice location:
  • Phone: 772-287-2191
  • Fax: 772-287-9808
Mailing address:
  • Phone: 772-287-2191
  • Fax: 772-287-9808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME0055456
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME0055456
License Number StateFL

VIII. Authorized Official

Name: MS. BECKY ANN MOORE
Title or Position: OFFICE MANAGER
Credential:
Phone: 772-287-2191