Healthcare Provider Details

I. General information

NPI: 1497510580
Provider Name (Legal Business Name): CHRISTOPHER HARRIS DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1859 VAN BUREN ST
HOLLYWOOD FL
33020-5127
US

IV. Provider business mailing address

15411 SW 106TH AVE
MIAMI FL
33157-1414
US

V. Phone/Fax

Practice location:
  • Phone: 954-920-9000
  • Fax:
Mailing address:
  • Phone: 786-523-2507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: