Individual
DAVID HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2381 SW RACQUET CLUB DR, PALM CITY, FL 34990-2608
(772) 418-2036
Mailing address
2381 SW RACQUET CLUB DR, PALM CITY, FL 34990-2608
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2009-00912
NC
207L00000X
Anesthesiology Physician
Primary
ME61067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14919
BCBS OF FLORIDA
FL
05
—
377132600
—
FL
Enumeration date
05/20/2006
Last updated
12/08/2016
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