Harbor Primary Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HARBOR PRIMARY CARE PA

Practice address

1300 36TH St
Suite G, Medical Arts Center
Vero Beach, FL 32960-4898

Phone

(772) 519-9066

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Thet Tun, MDNPI 1295742476

Title

President

Phone

(772) 519-9066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thet Lin Tun, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Vero Beach, FL
  • NPI 1295742476
  Medicare reassignment NPD Authorized official
• Roberto Rey Dios, M.D.

  • Neurological Surgery Physician
  • Jackson, MS
  • NPI 1487835211
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1821422528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 DIAMOND SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 36TH ST",
            "address_2": "SUITE G, MEDICAL ARTS CENTER",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-519-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "TUN",
        "authorized_official_first_name": "THET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-519-9066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R Hansen Jr., DPT
• Michael R Hansen, D.P.M.
• Elizabeth Hanson
• Greer W Hanson, ARNP
• Harb Nidal Harb, M.D., M.P.H., M.B.A.
• Harborchase of Vero Beach, Inc.
• Vanessa Harding-Bey, OTA
• Laszlo S Harmat, D.O.
• Thomas Alan Harmody, DC
• Kayla Harmon, PTA

• Internal Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.