Harris, Clarence M

Harris, Clarence M is an individual health care provider with primary practice located at 2023 Professional Center Drive , Orange Park FL 32073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Harris, Clarence M can be contacted via phone (904) 272-2020.

Contact Information

Primary practice address
2023 Professional Center Drive Orange Park FL 32073
Phone: (904) 272-2020
Fax: (904) 276-4386
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0015120 Florida

Profile Details

NPI number 1275598526
LBN Legal business name Harris, Clarence M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Oct 24th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275598526 NPPES
Florida Other 4047763 AETNA
Florida Other 10075 AETNA
Florida Other 1635739001 AETNA
Florida Other CB1273 AETNA

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