Provider Demographics
NPI:1912078346
Name:HARMAN, LEONARD PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:PAUL
Last Name:HARMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6641 CAMARILLO TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-5663
Mailing Address - Country:US
Mailing Address - Phone:215-292-5365
Mailing Address - Fax:561-495-6105
Practice Address - Street 1:6641 CAMARILLO TERRACE LN
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-5663
Practice Address - Country:US
Practice Address - Phone:215-292-5365
Practice Address - Fax:561-495-6105
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2014-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS002978L207Q00000X
FLOS5362207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAH5649617OtherBUREAU OF NARCOTICS
PAOS002978LOtherLICENSE
FLOS5362OtherFLORIDA MEDICAL LICENSE
PA000664501Medicaid
PAOOOOO30042OtherME
FL119013Medicare PIN
PAE13891Medicare UPIN
PAAH5649617OtherBUREAU OF NARCOTICS