MEDICARE: DR. DAVID S HARRIS 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	208800000X	Urology Physician	ME106641	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10P566	OTHER	FL	HEALTHY KIDS
2	1193104	OTHER	FL	WELLCARE
3	1488H	OTHER	FL	BCBS OF FL
4	341114	OTHER	FL	AVMED
5	5972493	OTHER	FL	AETNA
6	P01193238	OTHER	FL	RAILROAD MCR
7	P986298	OTHER	FL	FREEDOM HEALTH
8	4694542	OTHER	FL	CIGNA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215913975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID S HARRIS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-396-8930
Fax Number	:	239-396-8932

Provider Business Practice Location Address
First Line	:	8925 COLONIAL CENTER DR STE 2001
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7813
Country	:	US
Telephone Number	:	239-396-8930
Fax Number	:	239-396-8932

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	12/11/2025

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