Provider Demographics
NPI:1265417398
Name:HARNED, REED LEIGHTON (MD)
Entity type:Individual
Prefix:DR
First Name:REED
Middle Name:LEIGHTON
Last Name:HARNED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:990 AIRPORT ROAD
Mailing Address - Street 2:INTERNAL MEDICINE DEPARTMENT
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541
Mailing Address - Country:US
Mailing Address - Phone:850-269-6400
Mailing Address - Fax:850-654-9581
Practice Address - Street 1:990 AIRPORT RD
Practice Address - Street 2:INTERNAL MEDICINE DEPARTMENT
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-2820
Practice Address - Country:US
Practice Address - Phone:850-863-8115
Practice Address - Fax:850-862-6148
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME81671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260806500Medicaid
FL57959OtherBCBSFL
F81392Medicare UPIN
FL260806500Medicaid