Harlis, Tanika Rae-Ann

Harlis, Tanika Rae-Ann is an individual health care provider with primary practice located at 1680 Se Lyngate Dr Ste 201 , Port Saint Lucie FL 34952-4300. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Harlis, Tanika Rae-Ann can be contacted via phone (772) 210-3339.

Contact Information

Primary practice address
1680 Se Lyngate Dr Ste 201 Port Saint Lucie FL 34952-4300
Phone: (772) 210-3339
Fax: (772) 404-7819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO3923 Florida

Profile Details

NPI number 1801280862
LBN Legal business name Harlis, Tanika Rae-Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2015
Last updated Oct 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801280862 NPPES
Florida Other 1801280862 NPI

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