Provider Demographics
NPI:1881042513
Name:HARVEY, FORREST P JR (DC)
Entity Type:Individual
Prefix:DR
First Name:FORREST
Middle Name:P
Last Name:HARVEY
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 FOREST HILL BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LAKE CLARKE SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6055
Mailing Address - Country:US
Mailing Address - Phone:561-582-7444
Mailing Address - Fax:561-582-6424
Practice Address - Street 1:1840 FOREST HILL BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LAKE CLARKE SHORES
Practice Address - State:FL
Practice Address - Zip Code:33406-6055
Practice Address - Country:US
Practice Address - Phone:561-582-7444
Practice Address - Fax:561-582-6424
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11824111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor