Individual provider · NPI-1

Dr. John M Harris, MD

Internal Medicine · Port Charlotte, FL

NPI number1487648556
StatusActive
Last updated in NPPESFeb 6, 2024

Details

NPI
1487648556
Entity type
Individual (NPI-1)
Name
Dr. John M Harris
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 6, 2005
Certification date
Feb 6, 2024
Last updated
Feb 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME69548FLYes
207R00000X Internal Medicine059919GA
208M00000X Hospitalist059919GA

Practice location

2343 Aaron St
Port Charlotte, FL 33952-5305

Phone 855-979-5700 · Fax 855-979-5701

Mailing address

2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342

Phone 877-856-3774

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