Individual
DR. CINDY JOY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 W INTERLAKE BLVD, LAKE PLACID, FL 33852-0701
(863) 465-1725
(863) 465-2595
Mailing address
401 W INTERLAKE BLVD, LAKE PLACID, FL 33852-0701
(863) 465-1725
(863) 465-2595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L2304
TX
207Q00000X
Family Medicine Physician
Primary
OS10805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001823400
—
FL
01
—
1481A
BCBS
FL
01
—
P00879880
RRMC
FL
Enumeration date
07/31/2006
Last updated
05/18/2011
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