Individual
MR. ROBERT MICHAEL HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,ATC,LAT,LMT,PES
Contact information
Practice address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3321
(904) 256-7886
Mailing address
7925 MERRILL RD, APT 1108, JACKSONVILLE, FL 32277-3774
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2719
FL
225700000X
Massage Therapist
MA55420
FL
Other
Enumeration date
12/09/2010
Last updated
12/21/2010
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