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NPI Code Detail

MEDICARE: DANDRE HARRIS

MEDICARE: DANDRE HARRIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianH620-172-01-371-0FL

General Provider Information

NPI Number : 1831028687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANDRE HARRIS
Provider Business Mailing Address
First Line : 10538 AZALEA DR
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-2813
Country : US
Telephone Number : 813-531-2685
Fax Number : 813-531-2685
Provider Business Practice Location Address
First Line : 8001 BEATY GROVE DR
Second Line :
City : TAMPA
State : FL
Zip : 33626-1602
Country : US
Telephone Number : 813-926-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 06/03/2026

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Directions to “ DANDRE HARRIS ” Practice Location

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