MEDICARE: NIGEL HARRIS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	FL
2	372600000X	Adult Companion	FL
3	374U00000X	Home Health Aide	FL

General Provider Information

NPI Number	:	1760169270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIGEL HARRIS

Provider Business Mailing Address
First Line	:	2221 GORDON ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-6416
Country	:	US
Telephone Number	:	813-445-0224
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 GORDON ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33605-6416
Country	:	US
Telephone Number	:	813-445-0224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	06/28/2023

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Directions to “ NIGEL HARRIS ” Practice Location

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