Provider Demographics
NPI:1083622906
Name:HARRIS, JOSHUA ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ALEXANDER
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9530 SW 93RD AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2958
Mailing Address - Country:US
Mailing Address - Phone:305-926-7435
Mailing Address - Fax:305-279-1785
Practice Address - Street 1:7330 SW 62ND PL
Practice Address - Street 2:SUITE #310
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4825
Practice Address - Country:US
Practice Address - Phone:305-663-1001
Practice Address - Fax:305-663-1007
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84465207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease