Harris, Brandon Lee

Harris, Brandon Lee is an individual health care provider with primary practice located at 1666 Sw Bayshore Blvd , Port St Lucie FL 34984-3568. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Harris, Brandon Lee can be contacted via phone (772) 446-9740.

Contact Information

Primary practice address
1666 Sw Bayshore Blvd Port St Lucie FL 34984-3568
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1164078267
LBN Legal business name Harris, Brandon Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2019
Last updated Aug 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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