MEDICARE: DR. ERIC LLOYD HARTER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH 10556	FL

General Provider Information

NPI Number	:	1164780474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC LLOYD HARTER DC

Provider Business Mailing Address
First Line	:	1611 SANTA BARBARA BLVD
Second Line	:	170
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-3439
Country	:	US
Telephone Number	:	239-772-2266
Fax Number	:	239-772-1017

Provider Business Practice Location Address
First Line	:	1611 SANTA BARBARA BLVD
Second Line	:	170
City	:	CAPE CORAL
State	:	FL
Zip	:	33991-3439
Country	:	US
Telephone Number	:	239-772-2266
Fax Number	:	239-772-1017

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2012
Last Update Date	:	09/16/2013

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