Provider Demographics
NPI:1548282692
Name:HARMON, RICK M
Entity type:Individual
Prefix:DR
First Name:RICK
Middle Name:M
Last Name:HARMON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7247 STATE ROAD 52
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-6710
Mailing Address - Country:US
Mailing Address - Phone:727-863-1407
Mailing Address - Fax:727-868-8603
Practice Address - Street 1:7247 STATE ROAD 52
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-6710
Practice Address - Country:US
Practice Address - Phone:727-863-1407
Practice Address - Fax:727-868-8603
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8630111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor