Individual
HARI V IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3475 S SUNCOAST BLVD, HOMOSASSA, FL 34448-2322
(352) 628-7672
(352) 628-5190
Mailing address
PO BOX 3089, HOMOSASSA SPRINGS, FL 34447-3089
(352) 628-7672
(352) 628-5190
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0044371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048855100
—
FL
01
—
09070
BLUE SHIELD FLORIDA
FL
01
—
110023029
RAILROAD MEDICARE
FL
01
—
217649
AVMED HEALTH PLAN
FL
Enumeration date
07/28/2005
Last updated
12/24/2013
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