Harlis Family Foot and Ankle LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

HARLIS FAMILY FOOT AND ANKLE LLC

Doing business as

Harlis Family Foot and Ankle

Practice address

475 NW Prima Vista Blvd
Port Saint Lucie, FL 34983-8731

Phone

(772) 210-3339

Fax

(772) 404-7819

NPI assigned

Aug 6, 2021

Last updated

Mar 24, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Macalee Harlis Jr., DPMNPI 1992156327

Title

Co-Owner/ Managing Partner

Phone

(954) 330-6049

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Harlis Family Foot and Ankle Doing business as
• Harlis Foot and Ankle Center LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

Tax ID family

Harlis Family Foot and Ankle LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Harlis Family Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Port Saint Lucie, FL
  • NPI 1730901216
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Macalee Harlis Jr., D.P.M

  • Podiatrist
  • Port Saint Lucie, FL
  • NPI 1992156327
  Medicare reassignment Care Compare group NPD Authorized official
• Tanika Rae-Ann Harlis

  • Primary Podiatric Medicine Podiatrist
  • Port Saint Lucie, FL
  • NPI 1801280862
  Medicare reassignment Care Compare group NPD
• Stephen L Robinson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pompano Beach, FL
  • NPI 1447234133
  Medicare reassignment Care Compare group NPD
• Marlon Osbourne, M.D.

  • Anatomic Pathology Physician
  • Pompano Beach, FL
  • NPI 1295092583
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1942974563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NW PRIMA VISTA BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "772-210-3339",
            "fax_number": "772-404-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 NW PRIMA VISTA BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "772-210-3339",
            "fax_number": "772-404-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLIS FAMILY FOOT AND ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "HARLIS",
        "authorized_official_first_name": "MACALEE",
        "authorized_official_title_or_position": "CO-OWNER/ MANAGING PARTNER",
        "authorized_official_telephone_number": "954-330-6049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992156327",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111951400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801280862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harlis Family Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harlis Foot and Ankle Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eder Z Hanna Tejeda, LMT
• Adashia Hanna
• Happy Smiles of Port Saint Lucie
• Melissa Ann Hardee, BCABA
• Harlis Family Foot and Ankle LLC
• Macalee Harlis Jr., D.P.M
• Tanika Rae-Ann Harlis
• Kianna Harm
• Harmony Point Care Solutions LLC
• Edwin Troy Harper

• Foot & Ankle Surgery Podiatrist in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.