Individual
BRIAN A HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83 COLUMBIA ST, ORLANDO, FL 32806-1106
(321) 841-9340
(321) 841-9344
Mailing address
83 COLUMBIA ST, ORLANDO, FL 32806-1106
(321) 841-9340
(321) 841-9344
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
ME141133
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103150000
—
FL
Enumeration date
05/07/2013
Last updated
08/28/2019
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