Doctor Name: | DR. RANDOLPH CLYDE HARDING |
NPI Number: | 1376758417 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CH001456 |
Business Practice Address: | 2326 Us Hwy 19 Holiday, FL - 346913939 |
Business Phone Number: | 7279374191 |
Business Fax Number: | 7229424331 |
Mailing Address: | 2326 Us Hwy 19, HOLIDAY |
State: | FL |
Postal Code: | 346913939 |
Phone Number: | 7279374191 |
Fax Number: | 7229424331 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH001456 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |