Most Relevant Information
Provider Data
| NPI Number: | 1003548637 |
| Provider Name: | J'WOIN MAALIK HARRISON |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 11021888 |
Most Important Dates
| Enumeration Date: | 06/30/2022 |
| Last Updated: | 10/16/2022 |
Provider Practice Location
3100 E FLETCHER AVE
TAMPA
FL
336134613
Practice Location Phone/Fax
| Phone: | 8139716000 |
| Fax: |
Provider Mailing Location
4504 W SPRUCE ST APT 405
TAMPA
FL
336075887
Provider Mailing Phone/Fax
| Phone: | 9192106038 |
| Fax: |