Individual
CAROLI GENIS HARKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1234 SE MAGNOLIA EXT, UNIT 1, OCALA, FL 34471-3778
(352) 401-1218
(352) 401-1017
Mailing address
1234 SE MAGNOLIA EXT, UNIT 1, OCALA, FL 34471-3778
(352) 401-1218
(352) 401-1017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105492
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002733900
—
FL
Enumeration date
07/21/2010
Last updated
03/31/2015
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