Individual ProviderKimberly S HarrisPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252(904) 858-7600PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly S Harris does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1871795781Provider TypeIndividualFull NameHarris, Kimberly STitleMrs.GenderFemaleSole ProprietorNoEnumeration Date6/3/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3599 University Blvd S, Jacksonville, FL 32216-4252Phone(904) 858-7600FaxUnlisted FaxMailing LocationMailing Address11953 Blue Spruce Ct, Jacksonville, FL 32223-2924PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT20417Florida