Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS-0006819 | FL |
NPI | 1013026269 |
---|---|
Provider Name | Dr. John Nicholas Harker |
First Address | Largo, FL 33778-2399 |
Second Address | Largo, FL 33778-2399 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F16419 | (02) | FL |