MEDICARE: DR. RICHARD JAMES HARRISON JR. M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	241712	NY
2	207XS0106X	Orthopaedic Hand Surgery Physician	241712	NY
3	207XS0106X	Orthopaedic Hand Surgery Physician	ME110018	FL
4	207X00000X	Orthopaedic Surgery Physician	ME110018	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P01256129	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2300218	OTHER	FL	COVENTRY
2	901776	OTHER	FL	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1483327	OTHER	FL	CIGNA
6	14H4N	OTHER	FL	FLORIDA BLUE

General Provider Information

NPI Number	:	1013187681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JAMES HARRISON JR. M.D.

Provider Business Mailing Address
First Line	:	240 N WICKHAM RD STE 104
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8663
Country	:	US
Telephone Number	:	321-541-1777
Fax Number	:	321-541-1786

Provider Business Practice Location Address
First Line	:	240 N WICKHAM RD STE 104
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8663
Country	:	US
Telephone Number	:	321-541-1777
Fax Number	:	321-541-1786

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2008
Last Update Date	:	07/07/2025

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Directions to “ DR. RICHARD JAMES HARRISON JR. M.D.” Practice Location

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