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Individual

HAROLD SCOTT HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2721 DEL PRADO BLVD S, SUITE 200, CAPE CORAL, FL 33904-5781
(239) 772-3636
(239) 772-8903
Mailing address
2721 DEL PRADO BLVD S, SUITE 200, CAPE CORAL, FL 33904-5781
(239) 772-3636
(239) 772-8903

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0044709
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047741900
FL
01
05658
BCBS
FL
01
204675
AVMED
FL
01
2499168
GHI
FL
01
4091386
AETNA
FL
01
P00100202
RAILROAD MEDICARE
FL
Enumeration date
07/05/2005
Last updated
01/06/2011
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