Individual
EMILY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10111 FOREST HILL BLVD RM 255, WELLINGTON, FL 33414-6141
(561) 377-7131
(866) 219-0330
Mailing address
10111 FOREST HILL BLVD RM 255, WELLINGTON, FL 33414-6141
(561) 377-7131
(866) 219-0330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME128626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6128A
MEDICARE
FL
Enumeration date
06/21/2011
Last updated
05/20/2019
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