Provider Demographics
NPI:1629357611
Name:HARVEST TIME INTERNATIONAL MEDICAL CARE CENTER
Entity Type:Organization
Organization Name:HARVEST TIME INTERNATIONAL MEDICAL CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOLINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-328-9900
Mailing Address - Street 1:225 N KENNEL RD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-8814
Mailing Address - Country:US
Mailing Address - Phone:407-328-9900
Mailing Address - Fax:407-878-5524
Practice Address - Street 1:225 N KENNEL RD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-8814
Practice Address - Country:US
Practice Address - Phone:407-328-9900
Practice Address - Fax:407-878-5524
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARVEST TIME INTERNATIONAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable