Dr. John B Harris, MD
Surgery, Plastic and Reconstructive Surgery in Ponte Vedra Beach, FL. Individual provider (NPI-1).
NPI number1609899178
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1609899178
- Entity type
- Individual (NPI-1)
- Name
- Dr. John B Harris
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2006
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | ME54419 | FL | Yes |
Practice location
151 Sawgrass Corners Dr Ste 102Ponte Vedra Beach, FL 32082-3554
Phone 904-274-1834 · Fax 904-373-5840
Mailing address
401 San Juan DrPonte Vedra Beach, FL 32082-2822
Phone 904-285-8838 · Fax 904-285-4011
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