Individual
IRA HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W 8TH ST, SUITE 6017, JACKSONVILLE, FL 32209-6533
(904) 354-0622
(904) 354-0623
Mailing address
5685 NORWOOD AVE, SUITE 6017, JACKSONVILLE, FL 32208-5012
(904) 354-0622
(904) 354-0623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0033826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065485000
—
FL
Enumeration date
07/18/2006
Last updated
10/26/2016
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