Individual
CLARISSA OLIVEIRA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2700 NE 14TH STREET CSWY, SUITE 103, POMPANO BEACH, FL 33062-3561
(954) 942-8177
(954) 942-1819
Mailing address
2700 NE 14TH STREET CSWY, SUITE 103, POMPANO BEACH, FL 33062-3561
(954) 942-8177
(954) 942-1819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FLME88074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FLME88074
MEDICAL LICENSE NUMBER
FL
Enumeration date
06/01/2006
Last updated
06/28/2012
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