Organization
PERSONAL HEART CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN KEITH HARRIS M.D. (PRESIDENT)
(407) 367-0742
Entity
Organization
Contact information
Practice address
7824 LAKE UNDERHILL RD, SUITE E, ORLANDO, FL 32822-8201
(407) 367-0742
(407) 367-0386
Mailing address
7824 LAKE UNDERHILL RD, SUITE E, ORLANDO, FL 32822-8201
(407) 367-0742
(407) 367-0386
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
177336-1
NY
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0064086
FL
Other
Enumeration date
06/20/2008
Last updated
02/09/2010
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