Individual
HARLAN ERIC PETTIT
Active
Individual
HARLAN ERIC PETTIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME62372
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME62372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050084607
RAILROAD MEDICARE
FL
01
—
17803
BLUE CROSS BLUE SHIELD FL
FL
05
—
370761000
—
FL
Enumeration date
05/11/2006
Last updated
09/04/2007
Update your record
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