Healthcare Provider Details

I. General information

NPI: 1669446449
Provider Name (Legal Business Name): PATRICIA ANN HARDING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2006
Last Update Date: 10/15/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 NORTHPOINT PKWY STE 200
WEST PALM BEACH FL
33407-1901
US

IV. Provider business mailing address

770 NORTHPOINT PKWY STE 102
WEST PALM BEACH FL
33407-1901
US

V. Phone/Fax

Practice location:
  • Phone: 561-655-3331
  • Fax: 561-655-3744
Mailing address:
  • Phone: 561-275-7604
  • Fax: 561-802-5385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number16394
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number16394
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME61066
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: