Organization
HARLIS FAMILY FOOT AND ANKLE LLC
Active
Other names
Harlis Family Foot and Ankle, Harlis Foot and Ankle Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACALEE HARLIS JR. DPM (CO-OWNER/ MANAGING PARTNER)
(954) 330-6049
Entity
Organization
Contact information
Practice address
475 NW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983-8731
(772) 210-3339
(772) 404-7819
Mailing address
475 NW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL 34983-8731
(772) 210-3339
(772) 404-7819
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111951400
—
FL
01
—
1801280862
NPI
FL
01
—
1992156327
NPI
FL
Enumeration date
08/06/2021
Last updated
03/24/2025
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