Individual
MISS DONTRIA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4553 LIMERICK DR, TAMPA, FL 33610-9173
(941) 883-8319
Mailing address
4553 LIMERICK DR, TAMPA, FL 33610-9173
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
SUPPLY
FL
Enumeration date
03/29/2022
Last updated
03/29/2022
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