Individual
MR. HARRISON BURT STEWARD IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2415 N ORANGE AVE STE 700, ORLANDO, FL 32804-5521
(407) 303-2474
(407) 303-0680
Mailing address
PO BOX 3749, ORLANDO, FL 32802-3749
(407) 228-7373
(407) 228-7393
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 2609
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290052100
—
FL
Enumeration date
10/10/2006
Last updated
10/20/2020
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