Harris, Gene Ashley

Harris, Gene Ashley is an individual health care provider with primary practice located at 1689 Eagle Harbor Pkwy Ste A , Fleming Island FL 32003-4817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harris, Gene Ashley can be contacted via phone (904) 269-1366.

Contact Information

Primary practice address
1689 Eagle Harbor Pkwy Ste A Fleming Island FL 32003-4817
Phone: (904) 269-1366
Fax: (904) 264-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS6100 Florida

Profile Details

NPI number 1912926700
LBN Legal business name Harris, Gene Ashley
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 23rd, 2022 - about 3 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 1912926700 NPPES
Florida MEDICAID 053649100

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