Individual
DR. JON FREDRIC HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2133 N COMMERCE PKWY, WESTON, FL 33326-3238
(954) 384-9692
Mailing address
2770 OAKBROOK LN, WESTON, FL 33332-3407
(305) 807-6731
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
OS 9033
FL
Other
Enumeration date
04/09/2007
Last updated
11/29/2010
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