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Individual

DR. CHARLES LEE HARNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AUDIOLOGIST

Contact information

Practice address
3134 LAKE WASHINGTON RD, MELBOURNE, FL 32934
(321) 254-9919
(787) 722-0015
Mailing address
10455 RIVERSIDE DR., PALM BEACH GARDENS, FL 33410
(561) 478-8770
(561) 598-7230

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
103
PR
231H00000X
Audiologist
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2322
INTERNATIONAL MEDICAL CAR
PR
01
250000
UTI
PR
01
450004
HUMANA HEALTH
PR
01
451710
CIGNA
PR
01
660-38-4383
MCS
PR
01
660384383
FIRST PLUS
PR
01
AD-00103
UIA
PR
Enumeration date
07/06/2006
Last updated
11/09/2016
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