Individual
BRANDON LEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1666 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34984-3568
(772) 446-9740
Mailing address
1666 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34984-3568
(772) 446-9740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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