Provider Demographics
NPI:1013315902
Name:HARRIS, STUART IRWIN (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:IRWIN
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 1:3898 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-5503
Mailing Address - Country:US
Mailing Address - Phone:305-649-6556
Mailing Address - Fax:305-631-6061
Practice Address - Street 1:3898 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-5503
Practice Address - Country:US
Practice Address - Phone:305-649-6556
Practice Address - Fax:305-631-6061
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 53516207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine