Basic Information
Provider Information
NPI: 1386061596
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SASSON HARARI
FirstName: MORRIS
MiddleName: SALOMON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2950 CLEVELAND CLINIC BLVD
Address2:  
City: WESTON
State: FL
PostalCode: 333313609
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2950 CLEVELAND CLINIC BLVD
Address2:  
City: WESTON
State: FL
PostalCode: 333313609
CountryCode: US
TelephoneNumber: 9546595000
FaxNumber: 9546595622
Other Information
ProviderEnumerationDate: 03/25/2014
LastUpdateDate: 06/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XTRN# 19232FLN Allopathic & Osteopathic PhysiciansSurgery 
208600000X2019-02260NCN Allopathic & Osteopathic PhysiciansSurgery 
2086S0129XME155181FLY Allopathic & Osteopathic PhysiciansSurgeryVascular Surgery

No ID Information.


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