Harris, Jacob J

Harris, Jacob J is an sole proprietor health care provider with primary practice located at 4620 W Commercial Blvd Suite 5, Tamarac FL 33319-3320. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Harris, Jacob J can be contacted via phone (954) 486-4647.

Contact Information

Primary practice address
4620 W Commercial Blvd Suite 5 Tamarac FL 33319-3320
Phone: (954) 486-4647
Fax: (954) 486-4649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME 33828 Florida

Profile Details

NPI number 1255504973
LBN Legal business name Harris, Jacob J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2008
Last updated Apr 3rd, 2008 - about 16 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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