Harris Chiropractic Clinic Inc | |
956 International Pkwy Ste 1580, Lake Mary, FL 32746-5219 | |
(407) 706-1420 | |
(407) 706-1424 |
Full Name | Harris Chiropractic Clinic Inc |
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Type | Facility |
Speciality | Chiropractor |
Location | 956 International Pkwy Ste 1580, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609061985 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH0005746 (Florida) | Primary |
Provider Name | Mark William Harris |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982679825 PECOS PAC ID: 8628038288 Enrollment ID: I20041020000242 |
Mailing Address | Practice Location Address |
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Harris Chiropractic Clinic Inc 1876 Piedmont Pl, Lake Mary, FL 32746-7609 Ph: (407) 706-1420 | Harris Chiropractic Clinic Inc 956 International Pkwy Ste 1580, Lake Mary, FL 32746-5219 Ph: (407) 706-1420 |
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