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Individual

ELLIOT OBRY HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5511 NW 4TH PL, GAINESVILLE, FL 32607-2116
(352) 213-4125
Mailing address
5511 NW 4TH PL, GAINESVILLE, FL 32607-2116
(352) 213-4125

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
FL

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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