Active NPI
My Doctor PA
- Family Medicine Physician
- Belle Glade, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS-0005579
- Legal business name
- MY DOCTOR PA
- Practice address
- 1200 S Main St
Suite 200
Belle Glade, FL 33430-7808 - Phone
- (561) 992-8000
- Fax
- (561) 992-8020
- NPI assigned
- Jan 19, 2006
- 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
- Martin Tracy Harland, D.O.
- Title
- President/Ceo
- Phone
- (561) 992-8000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS-0005579 | FL | Primary |
Addresses
Primary practice location
1200 S Main St
Suite 200
Belle Glade, FL 33430-7808
Mailing address
1200 S Main St
Suite 200
Belle Glade, FL 33430-7808
Phone (561) 992-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 253267100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
125 N Main St
Belle Glade, FL 33430
Phone (561) 795-3330
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Family Medicine Physician
- Belle Glade, FL
- NPI 1760462386
-
- Family Nurse Practitioner
- Belle Glade, FL
- NPI 1710060421
-
- Family Medicine Physician
- Wellington, FL
- NPI 1578636833
-
- Hospitalist Physician
- Aurora, CO
- NPI 1528090115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303948800000",
"number": "1992785513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S MAIN ST",
"address_2": "SUITE 200",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334307808",
"telephone_number": "561-992-8000",
"fax_number": "561-992-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 S MAIN ST",
"address_2": "SUITE 200",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "334307808",
"telephone_number": "561-992-8000",
"fax_number": "561-992-8020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY DOCTOR PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2011-04-28",
"status": "A",
"authorized_official_last_name": "HARLAND",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "TRACY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "561-992-8000",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "OS-0005579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253267100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Glade, FL
- Morrison Clinic
- Shonique Mottley
- Yudit D Moya, DDS
- Multilingual Psychotherapy Centers, Inc.
- Jemelia K Murvin, A.R.N.P.
- My Home Medical Service Corp
- Sabari Nair
- National Medical Care, Inc. (Renal Care Center of Belle Glade)
- National Medical Care, Inc. (RCC Belle Glade)
- Shelley Willis Nesbitt, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.