Individual
GEORGE F HARRIS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16230 SUMMERLIN RD STE 215, FORT MYERS, FL 33908-5769
(239) 343-7474
(239) 343-4190
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7474
(239) 343-4190
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
33413
SC
207Y00000X
Otolaryngology Physician
ME149086
FL
207YP0228X
Pediatric Otolaryngology Physician
33413
SC
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME149086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109672500
—
FL
05
—
334132
—
SC
Enumeration date
05/24/2007
Last updated
02/17/2023
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