person
Dr. Tanika Rae-ann Harlis
Primary Podiatric Medicine Podiatrist in Port Saint Lucie, Florida
NPI 1801280862

Tanika Rae-ann Harlis is a Primary Podiatric Medicine Podiatrist based in Port Saint Lucie, FL and is specialized in Primary Podiatric Medicine. Tanika Rae-ann Harlis practices in Port Saint Lucie, FL. The NPI Number for Tanika Rae-ann Harlis is 1801280862 and holds a License No. PO3923 (Florida).

The current practice location address for Tanika Rae-ann Harlis is 1680 Se Lyngate Dr Ste 201, Port Saint Lucie, FL and can be reached out via phone at 772-210-3339 and via fax at 772-404-7819.

Location: 1680 Se Lyngate Dr Ste 201, Port Saint Lucie, FL, 34952-4300
person
Provider Profile Details
NPI Number
1801280862
Provider Name
Tanika Rae-ann Harlis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1680 Se Lyngate Dr Ste 201, Port Saint Lucie, FL, 34952-4300
Phone Number
772-210-3339
Fax Number
772-404-7819
Provider Enumeration Date
03/26/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801280862 01 FL NPI
institution
Provider Business Practice Location Address Details
Address
1680 Se Lyngate Dr Ste 201
City
State
Zip
34952-4300
Phone Number
772-210-3339
Fax Number
772-404-7819
person
Provider Business Mailing Address Details
Address
1680 Se Lyngate Dr Ste 201
City
State
Zip
34952-4300
Phone Number
772-210-3339
Fax Number
772-404-7819
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
PO3923 (Florida)
Definition
Definition to come...
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