Harborview Emergency Physicians LLC
Emergency Medicine in Destin, FL. Organization (NPI-2).
NPI number1508300682
StatusActive
Last updated in NPPESDec 21, 2020
Details
- NPI
- 1508300682
- Entity type
- Organization (NPI-2)
- Legal business name
- Harborview Emergency Physicians LLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2016
- Certification date
- Dec 21, 2020
- Last updated
- Dec 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
Practice location
200 Tequesta DrDestin, FL 32541-4758
Phone 469-401-2386
Mailing address
13737 Noel Rd#1600
Dallas, TX 75240-1331
Authorized official
Kathleen Kondas
Officer
9732511132
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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