Provider Demographics
NPI:1023781226
Name:HARRIS, MASON DANIEL (DC)
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:DANIEL
Last Name:HARRIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W ATLANTIC AVE
Mailing Address - Street 2:STE 014
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444
Mailing Address - Country:US
Mailing Address - Phone:561-330-6096
Mailing Address - Fax:561-330-6097
Practice Address - Street 1:401 W ATLANTIC AVE
Practice Address - Street 2:STE 014
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444
Practice Address - Country:US
Practice Address - Phone:561-330-6096
Practice Address - Fax:561-330-6097
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14760111N00000X
TX14805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor