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Organization

HARBOR OPHTHALMOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARRY KOLODNER M.D. (MANAGING MEMBER/ PARTNER)
(727) 784-1121
Entity
Organization

Contact information

Practice address
33920 US HIGHWAY 19 N, SUITE 275, PALM HARBOR, FL 34684-2676
(727) 784-1121
(727) 781-4788
Mailing address
33920 US HIGHWAY 19 N, SUITE 275, PALM HARBOR, FL 34684-2676
(727) 784-1121
(727) 781-4788

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
ME 33861
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7518580001
NSC
01
IG845A
PTAN
FL
Enumeration date
10/28/2015
Last updated
07/07/2016
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