Individual
GABRIELA DENISE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4771 S CLEVELAND AVE, FORT MYERS, FL 33907-1317
(239) 343-9800
(239) 343-9848
Mailing address
P.O. BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-1449
(239) 424-1421
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
PA 9102367
FL
363A00000X
Physician Assistant
Primary
PA9102367
FL
363AS0400X
Surgical Physician Assistant
PA 9102367
FL
Other
Enumeration date
12/11/2006
Last updated
03/22/2016
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