Organization
HARLIS FAMILY FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTYN BILLINGS (CREDENTIALING)
(412) 655-4362
Entity
Organization
Contact information
Practice address
475 NW PRIMA VISTA BLVD STE 209, PORT SAINT LUCIE, FL 34983-8731
(772) 210-3339
Mailing address
475 NW PRIMA VISTA BLVD STE 209, PORT SAINT LUCIE, FL 34983-8731
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P04038
STATE LIC
FL
Enumeration date
10/28/2024
Last updated
10/28/2024
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