Individual
PAMELA G HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1175 CAMELLIA CIR, WESTON, FL 33326-3613
(954) 632-7184
(954) 389-3931
Mailing address
1175 CAMELLIA CIR, WESTON, FL 33326-3613
(954) 632-7184
(954) 389-3931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8840349
—
FL
Enumeration date
09/03/2006
Last updated
07/08/2007
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