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Contact Information

CHAKITA S HARRIS
1239 SIDNEY AVE
LAKELAND, FL33805-4202
 Phone: 863-595-8589
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical & Laboratory Immunology

207RI0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHAKITA S HARRIS · (Female)

NPI # 1326709023
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2022
Last updated 01/05/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 15400-162-576-6560
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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