Harrison, Bobby E

Harrison, Bobby E is an sole proprietor health care provider with primary practice located at 1942 Sw Little Rd , Lake City FL 32024-1756. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Harrison, Bobby E can be contacted via phone (386) 365-4492.

Contact Information

Primary practice address
1942 Sw Little Rd Lake City FL 32024-1756
Phone: (386) 365-4492
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME87831 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME 87831 Florida

Profile Details

NPI number 1598756074
LBN Legal business name Harrison, Bobby E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Feb 21st, 2020 - about 4 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 1598756074 NPPES
Florida MEDICAID 274266700
Florida Other P00861454
Florida Other P009058928

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