Individual
JOY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 SE PORT ST LUCIE BLVD STE 217, PORT ST LUCIE, FL 34952-5579
(772) 444-5296
Mailing address
PO BOX 881003, PORT ST LUCIE, FL 34988-1003
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55555555
—
FL
Enumeration date
02/26/2018
Last updated
02/26/2018
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