Provider Demographics
NPI:1447782305
Name:HARRIS, SILVER RENEE
Entity Type:Individual
Prefix:
First Name:SILVER
Middle Name:RENEE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 LUDLAM RD
Mailing Address - Street 2:APT 328
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-1884
Mailing Address - Country:US
Mailing Address - Phone:786-506-0184
Mailing Address - Fax:
Practice Address - Street 1:2101 LUDLAM RD
Practice Address - Street 2:APT 328
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1804
Practice Address - Country:US
Practice Address - Phone:786-506-0184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-30
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program