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General NPI Number Information
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NPI Number | 1366636714
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Entity Type | Individual
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Provider Name | DELAWARE FLOYD HARRIS II MD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 9735 WILSHIRE BLVD SUITE 321
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2111
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Country | US
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Telephone | 310-278-3865
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Fax | 310-271-8166
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Provider Business Mailing Address
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Address Line | POST OFFICE BOX 938
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City | SUN VALLEY
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State | VA
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Zip | 91353-0938
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Country | US
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Telephone | 310-278-3865
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Fax | 310-271-8166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A39282
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License Number State | CA
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