Provider Demographics
NPI:1730127655
Name:HARDING, VICTOR HUNT (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:HUNT
Last Name:HARDING
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 1:6200 METROWEST BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-7636
Mailing Address - Country:US
Mailing Address - Phone:407-345-1551
Mailing Address - Fax:407-345-4893
Practice Address - Street 1:6200 METROWEST BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-7636
Practice Address - Country:US
Practice Address - Phone:407-345-1551
Practice Address - Fax:407-345-4893
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME43625207R00000X
FLME043625207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME43625OtherMEDICAL LICENSE
FLD50687Medicare UPIN
FL02942Medicare ID - Type Unspecified
FLK0617Medicare PIN
FLME43625OtherMEDICAL LICENSE