| Harbor Primary Care Pa | |
|
1300 36th St Suite G, Medical Arts Center Vero Beach FL 32960-4898 | |
| (772) 519-9066 | |
| Not Available |
| Full Name | Harbor Primary Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 36th St, Vero Beach, Florida |
| Authorized Official Name and Position | Thet Tun (PRESIDENT) |
| Authorized Official Contact | 7725199066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Primary Care Pa 4229 Diamond Sq Vero Beach FL 32967-1840 Ph: () - | Harbor Primary Care Pa 1300 36th St Suite G, Medical Arts Center Vero Beach FL 32960-4898 Ph: (772) 519-9066 |
| NPI Number | 1821422528 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 08/29/2013 |
| Medicare PECOS PAC ID | 0749414100 |
|---|---|
| Medicare Enrollment ID | O20131018000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821422528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Thet Lin Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295742476 PECOS PAC ID: 6406852482 Enrollment ID: I20080104000616 |
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