Provider Demographics
NPI:1275719478
Name:HAROLD C WARD
Entity Type:Organization
Organization Name:HAROLD C WARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:C
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-628-0123
Mailing Address - Street 1:8490 W HOMOSASSA TRL
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34448-2705
Mailing Address - Country:US
Mailing Address - Phone:352-628-0123
Mailing Address - Fax:625-628-0918
Practice Address - Street 1:8490 W HOMOSASSA TRL
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34448-2705
Practice Address - Country:US
Practice Address - Phone:352-628-0123
Practice Address - Fax:625-628-0918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1233080002Medicare NSC
FL1233080001Medicare NSC