MR. CHARLES LEE HARKNESS D.O. NPI 1518959857

NPI Information

  • NPI: 1518959857
  • Provider Name: MR. CHARLES LEE HARKNESS, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2627 RIVERSIDE AVE
    JACKSONVILLE, FL
    ZIP 32204
  • Phone: (904) 308-7372

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NPI Details

MR. Charles Lee Harkness, D.O. is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Charles Lee Harkness, D.O. NPI is 1518959857. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2627 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204-712
Phone: (904) 308-7372
Fax: (904) 308-2998

The enumeration date for this NPI number is 8/22/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineOS0004463FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12449678-004OTHERFLORIDACIGNA
2D60656MEDICARE UPINFLORIDA
34047634OTHERFLORIDAAETNA
482507OTHERFLORIDABCBS
582507YMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
6231069OTHERFLORIDAHEALTHEASE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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