Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TRN22027 | FL |
N | 111NI0900X | Internist | TRN22027 | FL |
Y | 207RI0200X | Infectious Disease | ME135305 | FL |
NPI | 1093195893 |
---|---|
Provider Name | Dr. Harry Ross Powers |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2015 |
Last Update Date | 02/09/2020 |