Brandon Lee Harris
NPI #1164078267 in Port St Lucie, Florida
Provider Information
- NPI Number
- 1164078267
- Entity Type
- Individual
- Name
- Brandon Lee Harris
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 14, 2019
- Last Updated
- Aug 14, 2019
Practice Location
- Address
- 1666 SW BAYSHORE BLVD
- City
- Port St Lucie
- State
- Florida
- ZIP Code
- 34984-3568
- Phone
- (772) 446-9740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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