Individual
DENNIS HARKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3120 WATERMAN WAY, TAVARES, FL 32778-5252
(352) 343-1216
(352) 343-1582
Mailing address
3120 WATERMAN WAY, TAVARES, FL 32778-5252
(352) 343-1216
(352) 343-1582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292162600
—
FL
Enumeration date
07/13/2005
Last updated
01/27/2016
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