Healthcare Provider Details

I. General information

NPI: 1720230428
Provider Name (Legal Business Name): HARMONY HEALTH PLAN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2008
Last Update Date: 06/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 COMMERCE WAY SUITE 285
BRENTWOOD TN
37027-2829
US

IV. Provider business mailing address

8735 HENDERSON RD
TAMPA FL
33634-1143
US

V. Phone/Fax

Practice location:
  • Phone: 615-782-7800
  • Fax: 615-782-7823
Mailing address:
  • Phone: 615-782-7800
  • Fax: 615-782-7823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HABER
Title or Position: SECRETARY
Credential:
Phone: 813-206-2702