MEDICARE: DR. HOWARD DAVID HARRISON MD

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	29502	MA

General Provider Information

NPI Number	:	1710062187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD DAVID HARRISON MD

Provider Business Mailing Address
First Line	:	5358 MALIBU COURT
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904
Country	:	US
Telephone Number	:	239-540-7381
Fax Number	:

Provider Business Practice Location Address
First Line	:	3033 WINKLER AVENUE EXT
Second Line	:	VA OUTPATIENT CLINIC-FORT MEYERS
City	:	FORT MYERS
State	:	FL
Zip	:	33916-9413
Country	:	US
Telephone Number	:	239-939-3939
Fax Number	:	239-939-7641

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

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