Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | ME39707 | FL |
Y | 207QA0401X | Family Doctor - Addiction Medicine | ME39707 | FL |
N | 2080P0202X | Pediatric Cardiologist | ME 39707 | FL |
NPI | 1568415347 |
---|---|
Provider Name | Dr. Harry Bayron |
First Address | Royal Palm Beach, FL 33411-4962 |
Second Address | Maitland, FL 32751 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D61271 | (02) | FL |
D61271 | (05) | FL |