MEDICARE: MORRIS CHIROPRACTIC CENTER, P.A.

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	CH0005361	FL

General Provider Information

NPI Number	:	1700887163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRIS CHIROPRACTIC CENTER, P.A.

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	:	CHIROPRACTOR
Name	:	BRIAN KENT MORRIS
Credential	:	DC
Telephone Number	:	813-684-8540

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	10/05/2010

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