Individual
CLARENCE M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2023 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 32073
(904) 272-2020
(904) 276-4386
Mailing address
2023 PROFESSIONAL CENTER DRIVE, ORANGE PARK, FL 32073
(904) 272-2020
(904) 276-4386
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0015120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10075
BCBS
FL
01
—
1635739001
CIGNA
FL
01
—
4047763
AETNA
FL
01
—
CB1273
RAILROAD MEDICARE
FL
Enumeration date
04/19/2006
Last updated
10/24/2007
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