Healthcare Provider Details

I. General information

NPI: 1619047495
Provider Name (Legal Business Name): JOSEPH T MORELLI III D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 OVERSEAS HWY
MARATHON FL
33050-2239
US

IV. Provider business mailing address

10300 SW 216TH ST
CUTLER BAY FL
33190-1003
US

V. Phone/Fax

Practice location:
  • Phone: 305-743-4000
  • Fax: 305-743-4000
Mailing address:
  • Phone: 305-278-6434
  • Fax: 305-278-6434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS006688E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS11563
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: