Provider Demographics
NPI:1659622686
Name:MICHAEL P. HARRINGTON, M.D., P.A.
Entity Type:Organization
Organization Name:MICHAEL P. HARRINGTON, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:386-274-0250
Mailing Address - Street 1:1890 LPGA BLVD
Mailing Address - Street 2:STE 250
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-7130
Mailing Address - Country:US
Mailing Address - Phone:386-274-0250
Mailing Address - Fax:386-274-0269
Practice Address - Street 1:1890 LPGA BLVD
Practice Address - Street 2:STE 250
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-7130
Practice Address - Country:US
Practice Address - Phone:386-274-0250
Practice Address - Fax:386-274-0269
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MICHAEL P. HARRINGTON, M.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-01
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME405949208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD57697Medicare UPIN
FL64481Medicare PIN