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Individual
CLARENCE M HARRIS
Active
Individual
CLARENCE M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0015120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10075
BCBS
FL
01
—
1635739001
CIGNA
FL
01
—
4047763
AETNA
FL
01
—
CB1273
RAILROAD MEDICARE
FL
Enumeration date
04/19/2006
Last updated
10/24/2007
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