1265417398 NPI number — DR. REED LEIGHTON HARNED M.D.

Table of content: MS. LASHERELL ROBINSON LMSW (NPI 1942902341)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265417398 NPI number — DR. REED LEIGHTON HARNED M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARNED
Provider First Name:
REED
Provider Middle Name:
LEIGHTON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265417398
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
543 HARBOR BLVD STE 402
Provider Second Line Business Mailing Address:
INTERNAL MEDICINE DEPARTMENT
Provider Business Mailing Address City Name:
DESTIN
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32541
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-616-2237
Provider Business Mailing Address Fax Number:
800-851-4178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
543 HARBOR BLVD STE 402
Provider Second Line Business Practice Location Address:
INTERNAL MEDICINE DEPARTMENT
Provider Business Practice Location Address City Name:
DESTIN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-616-2237
Provider Business Practice Location Address Fax Number:
800-851-4178
Provider Enumeration Date:
12/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  ME81671 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 260806500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 57959 . This is a "BCBSFL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 260806500 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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