Provider Demographics
NPI:1568706943
Name:HARDSCRABBLE ASSOCIATES LLC
Entity Type:Organization
Organization Name:HARDSCRABBLE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ROHMER
Authorized Official - Last Name:SOUTHMAYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-404-3289
Mailing Address - Street 1:28570 CALABRIA CT
Mailing Address - Street 2:201
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-2866
Mailing Address - Country:US
Mailing Address - Phone:239-404-3289
Mailing Address - Fax:
Practice Address - Street 1:28570 CALABRIA CT
Practice Address - Street 2:201
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-2866
Practice Address - Country:US
Practice Address - Phone:239-404-3289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-25
Last Update Date:2012-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 72817207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF35768Medicare UPIN