Individual
JEFFREY M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2141 LOCH RANE BLVD STE 116, ORANGE PARK, FL 32073
(904) 427-1270
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7212
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME0065014
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1108014
CARE PLUS HEALTH PLANS
FL
01
—
1193110
WELLCARE
FL
01
—
225221
AVMED
FL
05
—
252340000
—
FL
01
—
41406
BC BS
FL
01
—
5385643
AETNA
FL
01
—
684702
WELLCARE
FL
01
—
P0026504
FLORIDA HEALTHCARE PLUS
FL
01
—
P01327656
RR MEDICARE
FL
01
—
P01593276
RR MEDICARE
FL
01
—
P982978
FREEDOM HEALTH
FL
Enumeration date
10/05/2005
Last updated
06/29/2018
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