Individual
KEITH A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9090 PARK ROYAL DR, FORT MYERS, FL 33908-9616
(239) 936-3344
(239) 936-5126
Mailing address
9090 PARK ROYAL DR, FORT MYERS, FL 33908-9616
(239) 936-3344
(239) 936-5126
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0065069
FL
Other
Enumeration date
08/15/2006
Last updated
05/26/2009
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