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Individual

DR. MACALEE HARLIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
1680 SE LYNGATE DR STE 201, PORT SAINT LUCIE, FL 34952-4300
(772) 210-3339
Mailing address
1680 SE LYNGATE DR STE 201, PORT SAINT LUCIE, FL 34952-4300
(772) 210-3339

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4038
FL

Other

Enumeration date
06/27/2016
Last updated
08/06/2021
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