Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | D0043495 | MD |
N | 207ND0101X | MOHS-Micrographic Surgeon | D0043495 | MD |
Y | 207ND0101X | MOHS-Micrographic Surgeon | ME148028 | FL |
NPI | 1497723050 |
---|---|
Provider Name | Allan Crane Harrington |
First Address | Fort Myers, FL 33912-6008 |
Second Address | Fort Myers, FL 33912-6008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 15/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
224001700 | (05) | MD |
E30159 | (02) | MD |