Provider Demographics
NPI:1992769517
Name:TEMPLE, HARRY THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:THOMAS
Last Name:TEMPLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1120 NW 14TH ST STE 1263Z
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-243-3000
Mailing Address - Fax:305-243-0337
Practice Address - Street 1:1400 NW 12TH AVE STE 2
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1003
Practice Address - Country:US
Practice Address - Phone:305-243-3000
Practice Address - Fax:305-243-0337
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78837207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2550474-00Medicaid
FL2550474-00Medicaid
FLG48289Medicare UPIN