Individual
LAURA M. HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
(813) 974-0483
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
273089
MA
207R00000X
Internal Medicine Physician
ME139786
FL
208M00000X
Hospitalist Physician
Primary
ME139786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115376800
—
FL
01
—
3FM60
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/02/2013
Last updated
01/09/2025
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