Individual
MR. JOHN DOUGLAS HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, JAMES A. HALEY VA HOSPITAL / COMP&PEN (MAIL 11C&P), TAMPA, FL 33612-4745
(813) 978-5969
(813) 972-7605
Mailing address
11211 ROZIER LN, DADE CITY, FL 33525-0916
(813) 978-5969
(813) 972-7605
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1701
CO
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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