Individual
CHAKITA S HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 SIDNEY AVE, LAKELAND, FL 33805-4202
(863) 595-8589
Mailing address
1239 SIDNEY AVE, LAKELAND, FL 33805-4202
(863) 595-8589
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
15400-162-576-6560
FL
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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