Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME55293 | FL |
NPI | 1013981406 |
---|---|
Provider Name | Karen Harris |
First Address | Gainesville, FL 32605-4381 |
Second Address | Gainesville, FL 32605-4369 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 03/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
056033200 | (05) | FL |
E22575 | (02) |