Provider Demographics
NPI:1134512387
Name:HARMONY CLINIC PA
Entity Type:Organization
Organization Name:HARMONY CLINIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HERMAN
Authorized Official - Middle Name:LESTER
Authorized Official - Last Name:CARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:386-774-7246
Mailing Address - Street 1:1948 SAXON BLVD
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-4582
Mailing Address - Country:US
Mailing Address - Phone:386-774-7246
Mailing Address - Fax:386-206-1433
Practice Address - Street 1:1948 SAXON BLVD
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725
Practice Address - Country:US
Practice Address - Phone:386-774-7246
Practice Address - Fax:386-206-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-12
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10337111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty