Individual
MICHAEL J HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 956-1728
(904) 956-3332
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 956-1728
(904) 956-3332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
105088
LA
163W00000X
Registered Nurse
572675
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11014191
FL
367500000X
Certified Registered Nurse Anesthetist
RN572675
PA
Other
Enumeration date
02/12/2007
Last updated
03/21/2024
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