Individual
MRS. CHRISTINE TUZZO HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
600 S MAIN AVE, MINNEOLA, FL 34715-9578
(407) 399-8855
(321) 248-0120
Mailing address
600 S MAIN AVE, MINNEOLA, FL 34715-9578
(407) 399-8855
(321) 248-0120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW5509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000341400
GROUP MEDICAID PROVIDER NUMBER
FL
01
—
1821254368
FACILITY NPI PROVIDER NUMBER
FL
05
—
762109400
—
FL
Enumeration date
04/17/2007
Last updated
10/20/2022
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