Healthcare Provider Details

I. General information

NPI: 1265247142
Provider Name (Legal Business Name): MICHAEL MORRIS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4441 COLLINS AVE
MIAMI BEACH FL
33140-3227
US

IV. Provider business mailing address

4441 COLLINS AVE
MIAMI BEACH FL
33140-3227
US

V. Phone/Fax

Practice location:
  • Phone: 231-230-9536
  • Fax:
Mailing address:
  • Phone: 231-230-9536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL MORRIS
Title or Position: ADMIN
Credential: MP
Phone: 231-159-5569