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Organization

BRANDON HARRIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDON HARRIS (THERAPIST)
(954) 552-9773
Entity
Organization

Contact information

Practice address
5640 PACIFIC BLVD APT 1035, BOCA RATON, FL 33433-6709
(954) 552-9773
Mailing address
5640 PACIFIC BLVD APT 1035, BOCA RATON, FL 33433-6709

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH 11597
FL

Other

Enumeration date
07/22/2014
Last updated
07/22/2014
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