Individual
DR. GENE ASHLEY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1689 EAGLE HARBOR PKWY STE A, FLEMING ISLAND, FL 32003-4817
(904) 269-1366
(904) 264-9750
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
(904) 619-1080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS6100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
053649100
—
FL
Enumeration date
07/19/2006
Last updated
08/23/2022
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