Active NPI
David T Harvey MD PA
Doing business as Ponte Vedra Dermatology & Aesthetic Surgery
- MOHS-Micrographic Surgery Physician
- Ponte Vedra Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME63856
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David T Harvey, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- MOHS-Micrographic Surgery Physician
- Newnan, GA
- NPI 1578526232
-
- Dermatology Physician
- Carson City, NV
- NPI 1124032990
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.