Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | ME113687 | FL |
NPI | 1003046897 |
---|---|
Provider Name | Karim R. Harfouche |
First Address | Greenacres, FL 33467-1590 |
Second Address | Greenacres, FL 33467-1590 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2009 |
Last Update Date | 04/03/2020 |