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Organization
MY DOCTOR PA
Active
Organization
MY DOCTOR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TRACY HARLAND D.O. (PRESIDENT/CEO)
(561) 992-8000
Entity
Organization
Contact information
Practice address
1200 S MAIN ST, SUITE 200, BELLE GLADE, FL 33430-7808
(561) 992-8000
(561) 992-8020
Mailing address
1200 S MAIN ST, SUITE 200, BELLE GLADE, FL 33430-7808
(561) 992-8000
(561) 992-8020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS-0005579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253267100
—
FL
Enumeration date
01/19/2006
Last updated
04/28/2011
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