| Harlis Family Foot And Ankle Llc | |
|
475 Nw Prima Vista Blvd, Port Saint Lucie, FL 34983-8731 | |
| (772) 210-3339 | |
| (772) 404-7819 |
| Full Name | Harlis Family Foot And Ankle Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 475 Nw Prima Vista Blvd, Port Saint Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942974563 | NPI | - | NPPES |
| 1992156327 | Other | FL | NPI |
| 1801280862 | Other | FL | NPI |
| 111951400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Tanika Rae-ann Harlis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801280862 PECOS PAC ID: 7911252663 Enrollment ID: I20180620001675 |
| Provider Name | Macalee Harlis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992156327 PECOS PAC ID: 8426381930 Enrollment ID: I20190614000046 |
| Provider Name | Marlon Osbourne |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295092583 PECOS PAC ID: 1658753322 Enrollment ID: I20220728001352 |
| Provider Name | Stephen Robinson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447234133 PECOS PAC ID: 7416493853 Enrollment ID: I20240722004121 |
| Mailing Address | Practice Location Address |
|---|---|
| Harlis Family Foot And Ankle Llc 475 Nw Prima Vista Blvd, Port Saint Lucie, FL 34983-8731 Ph: (772) 210-3339 | Harlis Family Foot And Ankle Llc 475 Nw Prima Vista Blvd, Port Saint Lucie, FL 34983-8731 Ph: (772) 210-3339 |
Saint Lucie Foot & Ankle Centre, Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1696 Se Hillmoor Dr Ste A, Port Saint Lucie, FL 34952 Phone: 772-800-5811 | |
Michael A Garvin Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 320 Nw Bethany Dr, Port Saint Lucie, FL 34986 Phone: 772-871-6020 | |
Robert A Iannacone Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 691 Sw Port Saint Lucie Blvd, Port Saint Lucie, FL 34953 Phone: 772-878-0040 Fax: 772-878-4265 | |
Dr. Kimberly Marie Byrne, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1801 Se Hillmoor Dr Ste A-103, Port Saint Lucie, FL 34952 Phone: 772-742-7118 Fax: 772-228-6893 | |
Harlis Family Foot And Ankle Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 475 Nw Prima Vista Blvd Ste 209, Port Saint Lucie, FL 34983 Phone: 772-210-3339 | |
Dr. Tanika Rae-ann Harlis, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1680 Se Lyngate Dr Ste 201, Port Saint Lucie, FL 34952 Phone: 772-210-3339 Fax: 772-404-7819 | |
Dr Jessica Taub Podiatry Dpm Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1331 Se Port St Lucie Blvd Ste 101, Port Saint Lucie, FL 34952 Phone: 772-283-3800 |