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NPI Code Detail

MEDICARE: BROOKE ELIZABETH HARRIS PHARMD

MEDICARE: BROOKE ELIZABETH HARRIS PHARMD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1073137725
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE ELIZABETH HARRIS PHARMD
Provider Business Mailing Address
First Line : 7858 JUBILEE PARK BLVD APT 917
Second Line :
City : ORLANDO
State : FL
Zip : 32822-5225
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 WINTER SPRINGS BLVD
Second Line :
City : OVIEDO
State : FL
Zip : 32765-9342
Country : US
Telephone Number : 407-366-9810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2020
Last Update Date : 05/28/2020

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Directions to “ BROOKE ELIZABETH HARRIS PHARMD” Practice Location

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