MEDICARE: BRIAN KENT MORRIS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH5361	FL

General Provider Information

NPI Number	:	1356524532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN KENT MORRIS D.C.

Provider Business Mailing Address
First Line	:	207 KINGSWAY RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33510-4603
Country	:	US
Telephone Number	:	813-684-8540
Fax Number	:	813-651-1565

Provider Business Practice Location Address
First Line	:	207 KINGSWAY RD
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33510-4603
Country	:	US
Telephone Number	:	813-684-8540
Fax Number	:	813-651-1565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	01/15/2010

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