Harbor City Surgical Care

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HARBOR CITY SURGICAL CARE

Practice address

211 E New Haven Ave
Suite 1
Melbourne, FL 32901-4503

Phone

(321) 723-3500

Fax

(321) 723-1945

NPI assigned

Dec 3, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard C Wilson, DPMNPI 1972587350

Title

Podiatrist

Phone

(321) 723-3500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard C Wilson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Melbourne, FL
  • NPI 1972587350
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568644490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E NEW HAVEN AVE",
            "address_2": "SUITE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014503",
            "telephone_number": "321-723-3500",
            "fax_number": "321-723-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E NEW HAVEN AVE",
            "address_2": "SUITE 1",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014503",
            "telephone_number": "321-723-3500",
            "fax_number": "321-723-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR CITY SURGICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "321-723-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Harazda, R.N., L.M.T.
• Paige Harazin, MS, BCBA
• Harbor City Medical Imaging PA
• Harbor City Pharmacy Inc (Harbor City Pharmacy)
• Harbor City Physical Therapy, PA
• Katena Harden
• Zachary Tayler Hardesty, M.S.
• Carissa Marie Hardin, OTR/L
• Abraham Hardoon, MD
• Scott Hardoon, M.D.

• Ambulatory Surgical Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.