Provider Demographics
NPI:1063842870
Name:HARMONY UNITED HEALTHCARE LLC
Entity Type:Organization
Organization Name:HARMONY UNITED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, CFO, MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-431-3940
Mailing Address - Street 1:305 SKYLINE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-4592
Mailing Address - Country:US
Mailing Address - Phone:352-431-3940
Mailing Address - Fax:352-431-3173
Practice Address - Street 1:15544 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9556
Practice Address - Country:US
Practice Address - Phone:352-431-3940
Practice Address - Fax:352-431-3173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010197800Medicaid
FLHQ589AOtherMEDICARE PTAN