Provider Demographics
NPI:1629444385
Name:HARPER, JOHN JR
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:HARPER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 E ALFRED ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778
Mailing Address - Country:US
Mailing Address - Phone:352-609-2475
Mailing Address - Fax:352-609-2476
Practice Address - Street 1:1629 E ALFRED ST STE 5
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-3535
Practice Address - Country:US
Practice Address - Phone:352-609-2475
Practice Address - Fax:352-609-2476
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4977237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist