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NPI Code Detail

MEDICARE: FLORENCE BRAGANZA HARRIS M.D.

MEDICARE:   FLORENCE BRAGANZA HARRIS  M.D.
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
1207Q00000XFamily Medicine Physician7875NV

General Provider Information

NPI Number : 1083758981
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLORENCE BRAGANZA HARRIS M.D.
Provider Business Mailing Address
First Line : 4505 S MARYLAND PKWY, BOX 453020
Second Line :
City : LAS VEGAS
State : NV
Zip : 89154-3020
Country : US
Telephone Number : 702-895-3370
Fax Number : 702-895-4316
Provider Business Practice Location Address
First Line : 4505 S MARYLAND PKWY
Second Line : BOX 453020
City : LAS VEGAS
State : NV
Zip : 89154-9900
Country : US
Telephone Number : 702-895-3370
Fax Number : 702-895-4316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 06/19/2018

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Directions to “ FLORENCE BRAGANZA HARRIS M.D.” Practice Location

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