Healthcare Provider Details
I. General information
NPI: 1649404070
Provider Name (Legal Business Name): NAY GEBRAN HOCHE HARRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/13/2009
Last Update Date: 02/11/2022
Certification Date: 02/20/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4003 MARINER BLVD
SPRING HILL FL
34609-2466
US
IV. Provider business mailing address
4003 MARINER BLVD
SPRING HILL FL
34609-2466
US
V. Phone/Fax
- Phone: 352-263-2600
- Fax: 352-684-2218
- Phone: 352-263-2600
- Fax: 352-684-2218
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME116750 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: