Provider Demographics
NPI:1326464199
Name:HARMONY CLINIC
Entity Type:Organization
Organization Name:HARMONY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:MR
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:386-299-3144
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:386-299-3144
Mailing Address - Fax:386-775-1452
Practice Address - Street 1:1251 S VOLUSIA AVE
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7026
Practice Address - Country:US
Practice Address - Phone:386-299-3144
Practice Address - Fax:386-775-1452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10337261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center