Individual
MARC EVAN HARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1630 MASON AVE, DAYTONA BEACH, FL 32117-4547
(386) 274-5252
(386) 274-5544
Mailing address
2500 S PENINSULA DR, DAYTONA BEACH, FL 32118-5510
(386) 274-5252
(386) 274-5544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0028036
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028036
MEDICAL LISCENSE
FL
05
—
036759100
—
FL
01
—
592731139
TAX IDENTIFICATION
FL
Enumeration date
07/26/2006
Last updated
07/19/2010
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