Individual
DR. JACOB J HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4620 W COMMERCIAL BLVD, SUITE 5, TAMARAC, FL 33319-3320
(954) 486-4647
(954) 486-4649
Mailing address
4620 W COMMERCIAL BLVD, SUITE 5, TAMARAC, FL 33319-3320
(954) 486-4647
(954) 486-4649
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 33828
FL
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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