Harris, Idara M

Harris, Idara M is an sole proprietor health care provider with primary practice located at 1825 Nw 167Th St Suite 102, Miami Gardens FL 33056-4838. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Harris, Idara M can be contacted via phone (305) 474-1747.

Contact Information

Primary practice address
1825 Nw 167Th St Suite 102 Miami Gardens FL 33056-4838
Phone: (305) 474-1747
Fax: (305) 623-7893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1295075562
LBN Legal business name Harris, Idara M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2013
Last updated Feb 25th, 2013 - about 11 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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