De Harter, David John

De Harter, David John is an sole proprietor health care provider with primary practice located at 4811 Sw Thistle Ter , Palm City FL 34990-3948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. De Harter, David John can be contacted via phone (772) 971-5111.

Contact Information

Primary practice address
4811 Sw Thistle Ter Palm City FL 34990-3948
Phone: (772) 971-5111
Fax: (281) 337-2611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME0071228 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME71228 Florida

Profile Details

NPI number 1699766196
LBN Legal business name De Harter, David John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated May 11th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699766196 NPPES
Florida Other 32407 BCBS
Florida MEDICAID 252150400 BCBS
Florida Other 920004980 BCBS

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