Individual
MICHAEL PAUL HARRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 LPGA BLVD, STE 250, DAYTONA BEACH, FL 32117-7131
(386) 274-0260
(386) 274-0269
Mailing address
12 SHADY BRANCH TRAIL, ORMOND BEACH, FL 32174
(386) 274-0260
(386) 274-0269
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME0040549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002478
FHCP
FL
01
—
020044195
RR MEDICARE
FL
05
—
269331300
—
FL
Enumeration date
06/16/2005
Last updated
07/08/2007
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