Individual
MR. CLARENCE EDWARD HARRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9241 NW 23RD PL, GAINESVILLE, FL 32606-5195
(601) 750-0410
Mailing address
9241 NW 23RD PL, GAINESVILLE, FL 32606-5195
(601) 750-0410
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907137
FL
Other
Enumeration date
04/29/2025
Last updated
05/01/2025
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