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Individual

DR. RICHARD JAMES HARRISON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
240 N WICKHAM RD STE 104, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1786
Mailing address
240 N WICKHAM RD STE 104, MELBOURNE, FL 32935-8663
(321) 541-1777
(321) 541-1786

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
241712
NY
207X00000X
Orthopaedic Surgery Physician
Primary
ME110018
FL
207XS0106X
Orthopaedic Hand Surgery Physician
241712
NY
207XS0106X
Orthopaedic Hand Surgery Physician
ME110018
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007050300
MEDICAID NON FFS
FL
01
1483327
CIGNA
FL
01
14H4N
FLORIDA BLUE
FL
01
2300218
COVENTRY
FL
01
901776
AETNA
FL
01
P01256129
RAILROAD MEDICARE
FL
Enumeration date
03/10/2008
Last updated
07/07/2025
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