Healthcare Provider Details

I. General information

NPI: 1134412083
Provider Name (Legal Business Name): BRIAN WILLIAM MORRISON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2011
Last Update Date: 06/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1295 NW 14TH ST UNIVERSITY OF MIAMI HOSPITAL SOUTH BLG, SUITES K-M
MIAMI FL
33125-1610
US

IV. Provider business mailing address

1295 NW 14TH ST UNIVERSITY OF MIAMI HOSPITAL SOUTH BLG, SUITES K-M
MIAMI FL
33125-1610
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-6704
  • Fax:
Mailing address:
  • Phone: 305-243-6704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME118877
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: