Cameron Lily Harrigan

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI 1205697125 · NPPES record last updated Apr 5, 2024

Key facts

NPI
1205697125
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
12901 Bruce B Downs Blvd
Tampa, FL 33612-4742
Phone
(813) 974-8926
Fax
(813) 905-9860
NPI assigned
Jan 18, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

12901 Bruce B Downs Blvd
Tampa, FL 33612-4742

Mailing address

12901 Bruce B Downs Blvd # 5
Tampa, FL 33612-4799
Phone (813) 974-8926

Other providers in Tampa, FL

All providers in Tampa, FL · Student in an Organized Health Care Education/Training Program in Florida

Sources for this page

Verify at the official NPI Registry.