Provider Demographics
NPI:1962653048
Name:HJLIII, LLC
Entity Type:Organization
Organization Name:HJLIII, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAWLER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:941-751-0223
Mailing Address - Street 1:PO BOX 12528
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34282
Mailing Address - Country:US
Mailing Address - Phone:941-751-0223
Mailing Address - Fax:
Practice Address - Street 1:8404 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-2936
Practice Address - Country:US
Practice Address - Phone:941-751-0223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty