Harris, David A

Harris, David A is an individual health care provider with primary practice located at 2222 S. Harbor City Blvd Suite 420, Melbourne FL 32901. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Harris, David A can be contacted via phone (321) 768-9914.

Contact Information

Primary practice address
2222 S. Harbor City Blvd Suite 420 Melbourne FL 32901
Phone: (321) 768-9914
Fax: (321) 953-1893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102926 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102926 Florida

Profile Details

NPI number 1528032547
LBN Legal business name Harris, David A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 13th, 2023 - about 2 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 1528032547 NPPES
Florida MEDICAID 120074600
Florida Other P00400300

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