Individual
JOE B HARBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
527 N PALO ALTO AVE, PANAMA CITY, FL 32401-3639
(850) 747-4905
(850) 747-4907
Mailing address
PO BOX 1770, PANAMA CITY, FL 32402-1770
(850) 747-4905
(850) 747-4907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
8864
OK
2085R0202X
Diagnostic Radiology Physician
Primary
ME19880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03086
BCBS
FL
05
—
037962000
—
FL
Enumeration date
01/22/2007
Last updated
11/13/2008
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