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NPI Code Detail

MEDICARE: MRS. RHONDA GAYE HARRIS APRN

MEDICARE: MRS. RHONDA GAYE HARRIS APRN
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
1363LF0000XFamily Nurse Practitioner9222417FL

General Provider Information

NPI Number : 1609120922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RHONDA GAYE HARRIS APRN
Provider Business Mailing Address
First Line : 1685 S STATE ROAD 7 STE 4
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6721
Country : US
Telephone Number : 954-397-3251
Fax Number :
Provider Business Practice Location Address
First Line : 1685 S STATE ROAD 7 STE 4
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-6721
Country : US
Telephone Number : 954-397-3251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2012
Last Update Date : 06/13/2025

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