SAMUEL HARRIS


Address: 12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906
Phone: 9548388801

SAMUEL HARRIS (NPI# 1750813895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750813895
Entity Type Individual
Full Name SAMUEL HARRIS
Credential D.O.
Practice Address 12651 W Sunrise Blvd Ste 202
Sunrise
FL 33323-0906
Mailing Address 2001 W 68th St
Ste 202
Hialeah
FL 33016-1801
Practice Telephone 9548388801
Practice Fax Number 9548388807
Mailing Telephone 3053642107
Mailing Fax Number 3058228347
Enumeration Date 2017-03-29
Last Update Date 2020-06-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine OS15623 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers SAMUEL HARRIS

NPI Name Taxonomy Address Enumeration
1265820005 Samuel Harris Jr. Occupational Therapy Assistant 910 E Oklahoma Ave, Grand Island, NE 68801-8146 2015-01-02
1235115049 Samuel R. Harris Obstetrics & Gynecology 7 Medical Park Dr, Lexington, NC 27292-6768 2005-12-22
1275044547 Samuel Harris Counselor 1921 N Railroad Ave, Arcadia, LA 71001-3423 2017-10-13
1558719625 Samuel Thomas Harris Internal Medicine 1100 Belk Blvd, Oxford, MS 38655-5242 2016-05-31
1013300888 Samuel Harris Counselor 1829 Casa Verde Dr, North Las Vegas, NV 89031-5511 2015-03-18
1457695173 Samuel Isaac Harris Nurse Practitioner 1417 Battlefield Blvd N Ste 260, Chesapeake, VA 23320 2012-11-19
1821253899 Samuel T. Harris Internal Medicine 8045 Roane Medical Center Dr, Harriman, TN 37748-8333 2008-07-18

Office Location

Street Address 12651 W SUNRISE BLVD STE 202
City SUNRISE
State FL
Zip Code 33323-0906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609812437 Carlos Enrique Ballestas Family Medicine 12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906 2006-06-21
1174057137 Nikki Joseph Family Medicine 12651 W Sunrise Blvd Ste 202, Sunrise, FL 33323-0906 2017-04-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427605088 Global Wellness LLC Clinical Neuropsychologist 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 2019-08-19
1740785062 Rodolfo Walse Asis Jr. Physical Medicine & Rehabilitation 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 2018-03-28
1558890913 Juliana Andrea Duque Technician, Health Information 11301 Nw 29th Street, Sunrise, FL 33323 2017-06-08
1487183026 Alejandra Lamardo Specialist/Technologist 3634 Nw 122nd Ter, Sunrise, FL 33323 2017-06-07
1831630623 Kayode David Ojetola Physical Therapist 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 2017-03-14
1467990770 Gerardo Pre Dinglasan Jr. Physical Therapist 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 2017-02-07
1184161630 Praveen Mishra Physical Therapist 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 2017-01-23
1770029183 Corahealinghands Psychiatric Services Inc Nurse Practitioner 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 2017-01-09
1558718916 Shirley Freckleton-williams Nurse Practitioner 13110 Nw 11th Drive, Sunrise, FL 33323 2016-05-16
1376927525 Tai Lyn Auras Nurse Practitioner 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 2015-07-17
Find all providers in zip 33323

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952812273 Christina Wang Internal Medicine 8384 W Oakland Park Blvd, Sunrise, FL 33351-7372 2017-10-13
1528465556 Edwin Rodriguez Internal Medicine 13450 W Sunrise Blvd, Suite #370, Sunrise, FL 33323-2947 2014-11-19
1730435751 Westgate Medical Center, Inc Internal Medicine 15814 W State Road 84, Sunrise, FL 33326-1227 2012-07-27
1780956896 James Michael Hogan Internal Medicine 1340 Concord Ter, Sunrise, FL 33323-2830 2012-02-04
1780818039 Steven V Gurland Internal Medicine 13630 Nw 8th St, #205, Sunrise, FL 33325-6238 2009-05-14
1437368552 Rodolfo Valdemar Guevara Internal Medicine 4966 N Pine Island Rd, Sunrise, FL 33351-5314 2007-05-22
1265573927 Jose Eulogio Perez Internal Medicine 1340 Concord Terrace, Sunrise, FL 33323 2007-02-08
1881607562 Sunset Strip Medical Center, Inc Internal Medicine 4269 Nw 88th Ave, Sunrise, FL 33351-6044 2006-08-14
1790706042 Alfredo Terrero Internal Medicine 12651 W Sunrise Blvd Ste 301, Sunrise, FL 33323-0906 2006-07-22
1699713214 Kliti Tane Internal Medicine 1551 Sawgrs Corp Pkwy, Suite110, Sunrise, FL 33323-2828 2006-06-04
Find all providers in SUNRISE

Competitor

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City SUNRISE
Zip Code 33323

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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