Basic Information
Provider Information
NPI: 1548200165
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARIMAN
FirstName: ROBERT
MiddleName: J.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 13000 BRUCE B DOWNS BLVD
Address2: 111A
City: TAMPA
State: FL
PostalCode: 336124745
CountryCode: US
TelephoneNumber: 8139722000
FaxNumber: 8139785893
Practice Location
Address1: 13000 BRUCE B DOWNS BLVD
Address2: CARDIOLOGY 111A
City: TAMPA
State: FL
PostalCode: 336124745
CountryCode: US
TelephoneNumber: 8139722000
FaxNumber: 8139785893
Other Information
ProviderEnumerationDate: 06/08/2006
LastUpdateDate: 12/13/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X036070556ILN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X036070556ILN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0001X036070556ILN Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
207RC0001XME99388FLY Allopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology

No ID Information.


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