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NPI Code Detail

MEDICARE: EMILY A. HARRIS D.O.

MEDICARE:   EMILY A. HARRIS  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianOS19076FL
22086S0102XSurgical Critical Care PhysicianOS19076FL
3390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598110132
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY A. HARRIS D.O.
Provider Business Mailing Address
First Line : 9430 TURKEY LAKE RD STE 114
Second Line :
City : ORLANDO
State : FL
Zip : 32819-8015
Country : US
Telephone Number : 407-354-1202
Fax Number : 407-351-8801
Provider Business Practice Location Address
First Line : 9430 TURKEY LAKE RD STE 114
Second Line :
City : ORLANDO
State : FL
Zip : 32819-8015
Country : US
Telephone Number : 407-354-1202
Fax Number : 407-351-8801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 01/13/2026

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Directions to “ EMILY A. HARRIS D.O.” Practice Location

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