Provider Demographics
NPI:1801909841
Name:HARRIS, HOWARD (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9090 PARK ROYAL DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-9616
Mailing Address - Country:US
Mailing Address - Phone:239-936-3344
Mailing Address - Fax:239-936-5126
Practice Address - Street 1:5415 PARK CENTRAL CT
Practice Address - Street 2:BLDING D
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-5934
Practice Address - Country:US
Practice Address - Phone:239-596-1848
Practice Address - Fax:239-596-8084
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2009-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0071248207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF49051Medicare UPIN