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Individual

MARK WILLIAM HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
956 INTERNATIONAL PKWY STE 1580, LAKE MARY, FL 32746-5219
(407) 706-1420
(407) 705-3062
Mailing address
1876 PIEDMONT PL, LAKE MARY, FL 32746-7609
(407) 706-1420
(407) 705-3062

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH0005746
FL

Other

Enumeration date
02/22/2006
Last updated
06/18/2024
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