Justin R Harris (NPI# 1205179306, PAC ID# 0244550176) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1205179306 |
| PAC ID by PECOS | 0244550176 |
| Professional Enrollment ID | I20180813001185 |
| Full Name | Justin R Harris |
| Organization Legal Name | SARASOTA SPINE AND SPORT CHIROPRACTIC CLINIC |
| Address |
4705 26th St W Suite B Bradenton FL 34207-1704 |
| Phone Number | 9413219002 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 8426293127 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4705 26th St W, Suite B, Bradenton, FL 34207-1704 | 9413219002 | SARASOTA SPINE AND SPORT CHIROPRACTIC CLINIC |
| 3900 Clark Rd, H1, Sarasota, FL 34233-2366 | 9419261600 | SARASOTA SPINE AND SPORT CHIROPRACTIC CLINIC |
| Organization Legal Name | SARASOTA SPINE AND SPORT CHIROPRACTIC CLINIC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali R Salari | Chiropractic | Sarasota Spine and Sport Chiropractic Clinic | 4705 26th St W, Suite B, Bradenton, FL 34207-1704 |
| Jodie Dodge | Nurse Practitioner | Sarasota Spine and Sport Chiropractic Clinic | 4705 26th St W, Suite B, Bradenton, FL 34207-1704 |
| Stephen S Estes | Obstetrics/gynecology | Sarasota Spine and Sport Chiropractic Clinic | 3900 Clark Rd, H1, Sarasota, FL 34233-2366 |
| Jennifer Lynn Shields | Nurse Practitioner | Sarasota Spine and Sport Chiropractic Clinic | 3900 Clark Rd, Sarasota, FL 34233-2366 |
| Joetta L Troyer | Physician Assistant | Sarasota Spine and Sport Chiropractic Clinic | 3900 Clark Rd, Sarasota, FL 34233-2366 |
| Street Address |
4705 26TH ST W SUITE B |
| City | BRADENTON |
| State | FL |
| Zip | 34207-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali R Salari | Chiropractic | Sarasota Spine and Sport Chiropractic Clinic | 4705 26th St W, Suite B, Bradenton, FL 34207-1704 |
| Jodie Dodge | Nurse Practitioner | Sarasota Spine and Sport Chiropractic Clinic | 4705 26th St W, Suite B, Bradenton, FL 34207-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose F Estigarribia | General Surgery | 4810 26th W St, Bradenton, FL 34207 | |
| Madison A Easterling | Optometry | Eye Center Inc | 2003 Cortez Rd W, Bradenton, FL 34207-1289 |
| Brad S Laudicina | Optometry | Eye Center Inc | 2003 Cortez Rd W, Bradenton, FL 34207-1289 |
| Paige G Laudicina | Optometry | Eye Center Inc | 2003 Cortez Rd W, Bradenton, FL 34207-1289 |
| Michael Alan Mackie | Optometry | Eye Center Inc | 2003 Cortez Rd W, Bradenton, FL 34207-1289 |
| Randall Allen Brown | Physical Therapy | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Philip J Baldinger | Podiatry | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Christopher J Addison | Podiatry | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Garrett L Harte | Podiatry | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Pablo E Der Boghossian | Physical Therapy | Cortez Foot and Ankle Specialists P.a. | 1800 Cortez Rd W, Bradenton, FL 34207-1335 |
| Find all physicians in zip 34207 | |||
| City | BRADENTON |
| Zip Code | 34207 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | BRADENTON + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Justin R Harris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.