Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | OS0006579 | FL |
NPI | 1083676183 |
---|---|
Provider Name | Dale C Harrington |
First Address | Miami Lakes, FL 33016-5861 |
Second Address | Orlando, FL 32807-4311 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
372804000 | (05) | FL |