Organization Active NPI

David T Harvey MD PA

Doing business as Ponte Vedra Dermatology & Aesthetic Surgery

  • MOHS-Micrographic Surgery Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1639198708
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME63856 Issued in FL
Legal business name
DAVID T HARVEY MD PA
Doing business as
Ponte Vedra Dermatology & Aesthetic Surgery
Practice address
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600
Phone
(904) 285-7546
Fax
(904) 273-8511
NPI assigned
Jul 19, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
David T Harvey, MDNPI 1578526232
Title
Owner
Phone
(904) 285-7576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME63856 FL Primary

Addresses

Primary practice location

232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600

Mailing address

232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 32082-6600
Phone (904) 285-7546

Other names 1

  • PONTE VEDRA DERMATOLOGY & AESTHETIC SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

840 N 5th Ave
Ste 1500
Sequim, WA 98382
Phone (360) 582-2840

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1639198708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 PONTE VEDRA PARK DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826600",
            "telephone_number": "904-285-7546",
            "fax_number": "904-273-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 PONTE VEDRA PARK DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320826600",
            "telephone_number": "904-285-7546",
            "fax_number": "904-273-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T HARVEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-285-7576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME63856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PONTE VEDRA DERMATOLOGY & AESTHETIC SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.