Harris, Brian A

Harris, Brian A is an individual health care provider with primary practice located at 83 Columbia St , Orlando FL 32806-1106. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Harris, Brian A can be contacted via phone (321) 841-9340.

Contact Information

Primary practice address
83 Columbia St Orlando FL 32806-1106
Phone: (321) 841-9340
Fax: (321) 841-9344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X ME141133 Florida

Profile Details

NPI number 1245675016
LBN Legal business name Harris, Brian A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2013
Last updated Aug 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245675016 NPPES
Florida MEDICAID 103150000

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