Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME113247 | FL |
N | 2080P0203X | Pediatric Critical Care Doctor | ME113247 | FL |
NPI | 1306089396 |
---|---|
Provider Name | Tara Danielle Harris |
First Address | Coral Gables, FL 33146 |
Second Address | Coral Gables, FL 33146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 21/03/2018 |