Provider Demographics
NPI:1811231095
Name:HARBUR, MILES (CS)
Entity type:Individual
Prefix:
First Name:MILES
Middle Name:
Last Name:HARBUR
Suffix:
Gender:M
Credentials:CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 ASHLEY CT
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2933
Mailing Address - Country:US
Mailing Address - Phone:561-626-9043
Mailing Address - Fax:
Practice Address - Street 1:128 ASHLEY CT
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2933
Practice Address - Country:US
Practice Address - Phone:561-626-9043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner