Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | ME93928 | FL |
NPI | 1003887209 |
---|---|
Provider Name | Frances Marie Harris |
First Address | Lakeland, FL 33804 |
Second Address | Lakeland, FL 33805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 21/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273356100 | (05) | FL |
I39508 | (02) |