Provider Demographics
NPI:1851643639
Name:HARVIN AND ASSOCIATES
Entity Type:Organization
Organization Name:HARVIN AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MISTER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:407-300-5682
Mailing Address - Street 1:PO BOX 1191
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-1191
Mailing Address - Country:US
Mailing Address - Phone:407-300-5682
Mailing Address - Fax:305-397-2949
Practice Address - Street 1:2706 S RIDGEWOOD AVE STE 2
Practice Address - Street 2:
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-3501
Practice Address - Country:US
Practice Address - Phone:407-219-1332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty