Organization
PATRICIA HARRISON MD P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA HARRISON MD (PRESIDENT/OWNER)
(850) 862-4960
Entity
Organization
Contact information
Practice address
1025 N. BEAL PKWY, SUITE B-1, FORT WALTON BEACH, FL 32547-1481
(850) 862-4960
(850) 862-4529
Mailing address
1025 N. BEAL PKWY, SUITE B-1, FORT WALTON BEACH, FL 32547-1481
(850) 862-4960
(850) 862-4529
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
ME71795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253694300
—
FL
01
—
43326
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/25/2008
Last updated
10/14/2010
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