Individual
DR. JACK HARARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21644 STATE ROAD 7, EMERGENCY DEPARTMENT, BOCA RATON, FL 33428-1842
(561) 488-8000
(904) 346-0113
Mailing address
PO BOX 534213, ATLANTA, GA 30353-4213
(305) 651-2270
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0043955
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96445
BCBS
FL
01
—
P00162514
RRCMR
FL
Enumeration date
01/10/2006
Last updated
07/11/2007
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