Harris, David
Harris, David is an individual health care provider with primary practice located at 2381 Sw Racquet Club Dr , Palm City FL 34990-2608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Harris, David can be contacted via phone (772) 418-2036.Contact Information
Primary practice address
2381 Sw Racquet Club Dr
Palm City FL 34990-2608
Phone: (772) 418-2036
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME61067 | Florida |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2009-00912 | North Carolina |
Profile Details
| NPI number | 1013961374 |
|---|---|
| LBN Legal business name | Harris, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Dec 8th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013961374 | NPPES |
| Florida | Other | 14919 | BCBS OF FLORIDA |
| Florida | MEDICAID | 377132600 | BCBS OF FLORIDA |
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