Provider Demographics
NPI:1598951444
Name:MIDGLEY, HARRY C (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:C
Last Name:MIDGLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 OCEAN DR
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3523
Mailing Address - Country:US
Mailing Address - Phone:561-346-7373
Mailing Address - Fax:561-743-7195
Practice Address - Street 1:3355 BURNS RD STE 104
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4354
Practice Address - Country:US
Practice Address - Phone:561-691-4144
Practice Address - Fax:561-743-7195
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39600207Y00000X
FL39600207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC46297Medicare UPIN
FL61219Medicare PIN