Healthcare Provider Details

I. General information

NPI: 1578583845
Provider Name (Legal Business Name): STEVEN MORRIS M D P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N MILITARY TRL SUITE #245
BOCA RATON FL
33431-6365
US

IV. Provider business mailing address

2900 N MILITARY TRL SUITE #245
BOCA RATON FL
33431-6365
US

V. Phone/Fax

Practice location:
  • Phone: 561-994-2007
  • Fax: 561-364-0418
Mailing address:
  • Phone: 561-994-2007
  • Fax: 561-364-0418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0071743
License Number State

VIII. Authorized Official

Name: STEVEN EARL MORRIS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 561-994-2007