Gregg M Harris Dpm PA
Podiatrist in Boca Raton, FL. Organization (NPI-2).
NPI number1265620116
StatusActive
Last updated in NPPESMar 10, 2008
Details
- NPI
- 1265620116
- Entity type
- Organization (NPI-2)
- Legal business name
- Gregg M Harris Dpm PA
- Organization subpart
- No
- Enumeration date
- Oct 4, 2007
- Last updated
- Mar 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | PO 0001441 | FL | Yes |
Practice location
9980 Central Park Blvd NSte 106
Boca Raton, FL 33428-1703
Phone 561-488-3338 · Fax 561-488-1540
Mailing address
9980 Central Park Blvd NSte 106
Boca Raton, FL 33428-1703
Phone 561-488-3338 · Fax 561-488-1540
Authorized official
Gregg Michael Harris
President PA
5614883338
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