Individual
STEVEN DEREK HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
41 ANTILA WAY, ST JOHNS, FL 32259-2391
(770) 855-2528
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
731
FL
367H00000X
Anesthesiologist Assistant
8461
GA
Other
Enumeration date
07/19/2017
Last updated
11/12/2023
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