MEDICARE: HARRIS HEALTH CENTER, INC

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	111N00000X	Chiropractor	CH7739	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	70607	OTHER	FL	BLUE CROSS AND BLUE SHIED

General Provider Information

NPI Number	:	1194877126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS HEALTH CENTER, INC

Provider Business Mailing Address
First Line	:	1221 CLEVELAND ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33755-4908
Country	:	US
Telephone Number	:	727-467-0775
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 CLEVELAND ST
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33755-4908
Country	:	US
Telephone Number	:	727-467-0775
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRUCE BARTHOLOMEW HARRIS
Credential	:	D.C.
Telephone Number	:	727-467-0775

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/22/2020

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Directions to “HARRIS HEALTH CENTER, INC ” Practice Location

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