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Individual

NADINE MARANATHA HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
307054
LA
207R00000X
Internal Medicine Physician
ME113454
FL
207RI0200X
Infectious Disease Physician
Primary
307054
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006249900
FL
Enumeration date
05/22/2009
Last updated
10/28/2019
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