Provider Demographics
NPI:1104530294
Name:HARBOUR MEDICAL CENTERS
Entity type:Organization
Organization Name:HARBOUR MEDICAL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/INSURANCE
Authorized Official - Prefix:MISS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:PURA
Authorized Official - Last Name:VEIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-781-1101
Mailing Address - Street 1:1411 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-2651
Mailing Address - Country:US
Mailing Address - Phone:772-781-1101
Mailing Address - Fax:772-781-1141
Practice Address - Street 1:1411 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2651
Practice Address - Country:US
Practice Address - Phone:772-781-1101
Practice Address - Fax:772-781-1141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WIEDNER FAMILY CHIROPRACTIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty