Individual
BRUCE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3512 S ATLANTIC AVE, DAYTONA BEACH, FL 32118
(386) 767-9544
Mailing address
305 LAWRENCE ST, SEVILLE, FL 32190-6807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9360527
FL
Other
Enumeration date
06/06/2018
Last updated
06/21/2018
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