Healthcare Provider Details

I. General information

NPI: 1003580630
Provider Name (Legal Business Name): MORRISON CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2021
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2290 10TH AVE N STE 401
LAKE WORTH FL
33461-6609
US

IV. Provider business mailing address

12933 CALAIS CIR
WEST PALM BEACH FL
33410-1421
US

V. Phone/Fax

Practice location:
  • Phone: 561-284-8455
  • Fax: 561-284-8775
Mailing address:
  • Phone: 561-284-8455
  • Fax: 561-284-8775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN F MORRISON
Title or Position: PRESIDENT
Credential: MD, FAANS
Phone: 561-284-8455