Individual
MR. DAVID R HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1808 ORCHID ST, SARASOTA, FL 34239
(941) 951-0548
(941) 955-6269
Mailing address
1808 ORCHID ST, SARASOTA, FL 34239
(941) 951-0548
(941) 955-6269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW2213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8000010415
MEDICARE RAILROAD RETIRE
FL
01
—
Z3772
BCBS OF FLORIDA
FL
Enumeration date
11/08/2006
Last updated
07/08/2007
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