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Contact Information

CLARENCE M HARRIS, MD
2023 PROFESSIONAL CENTER DRIVE
ORANGE PARK, FL32073
 Phone: 904-272-2020
 Fax: 904-276-4386
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CLARENCE M HARRIS · (Male)

NPI Number 1275598526
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 10/24/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME0015120
  • FL Other 4047763 AETNA
  • FL Other 10075 BCBS
  • FL Other 1635739001 CIGNA
  • FL Other CB1273 RAILROAD MEDICARE
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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