Organization
HARRY KOLODNER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY KOLODNER MD (PHYSICIAN/OWNER)
(727) 786-0906
Entity
Organization
Contact information
Practice address
33920 US HIGHWAY 19 N, PALM HARBOR, FL 34684-2654
(727) 786-0906
(727) 781-4788
Mailing address
PO BOX 987, OLDSMAR, FL 34677-0987
(727) 786-0906
(727) 781-4788
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
ME33861
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038877700
—
FL
01
—
ME33861
FLORIDA MEDICAL LICENSE
FL
Enumeration date
02/05/2008
Last updated
02/06/2008
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