Harris, Michael Bernard

Harris, Michael Bernard is an individual health care provider with primary practice located at 12234 Panama City Beach Pkwy Ste B , Panama City Beach FL 32407-2726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Harris, Michael Bernard can be contacted via phone (850) 233-2323.

Contact Information

Primary practice address
12234 Panama City Beach Pkwy Ste B Panama City Beach FL 32407-2726
Phone: (850) 233-2323
Fax: (850) 233-1055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME110323 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME110323 Florida

Profile Details

NPI number 1396849691
LBN Legal business name Harris, Michael Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Aug 5th, 2021 - 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 1396849691 NPPES
Florida Other 58926 FLORIDA BLUE (BCBSFL)
Florida MEDICAID 004001500 FLORIDA BLUE (BCBSFL)

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