Individual
DR. HARRY W. SEVERANCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 COLUMBIA DR, TAMPA, FL 33606-3508
(813) 844-7000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44134
TN
207P00000X
Emergency Medicine Physician
ME90811
FL
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
44134
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48029
BLUE SHIELD OF FL
FL
Enumeration date
06/25/2006
Last updated
07/26/2017
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