Organization
JEREMY N HARRIS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOORJAHAN ALI MD (PHYSICIAN)
(904) 861-1330
Entity
Organization
Contact information
Practice address
3636 UNIVERSITY BLVD S STE B3, JACKSONVILLE, FL 32216-4223
(904) 448-3387
(904) 512-5235
Mailing address
943 CESERY BLVD STE G, JACKSONVILLE, FL 32211-5655
(904) 861-1330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055677700
—
FL
Enumeration date
03/10/2019
Last updated
03/11/2019
Update your record
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