Individual
MR. CLINTON RODNEY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO, ABOC, NCLEC
Contact information
Practice address
5311 NW WISK FERN CIR, PORT SAINT LUCIE, FL 34986-4370
(904) 444-8234
Mailing address
5311 NW WISK FERN CIR, PORT SAINT LUCIE, FL 34986-4370
(904) 444-8234
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5704
FL
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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