Individual
DR. TANIKA RAE-ANN HARLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1680 SE LYNGATE DR STE 201, PORT SAINT LUCIE, FL 34952-4300
(772) 210-3339
(772) 404-7819
Mailing address
1680 SE LYNGATE DR STE 201, PORT SAINT LUCIE, FL 34952-4300
(772) 210-3339
(772) 404-7819
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO3923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801280862
NPI
FL
Enumeration date
03/26/2015
Last updated
10/07/2021
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