Harrison, David

Harrison, David is an individual health care provider with primary practice located at 4570 Lyons Rd Suite 110, Coconut Creek FL 33073-3481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Harrison, David can be contacted via phone (954) 971-3210.

Contact Information

Primary practice address
4570 Lyons Rd Suite 110 Coconut Creek FL 33073-3481
Phone: (954) 971-3210
Fax: (954) 971-3427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME47299 Florida

Profile Details

NPI number 1487628574
LBN Legal business name Harrison, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 4th, 2013 - about 13 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 1487628574 NPPES
Florida MEDICAID 271859600

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