Healthcare Provider Details

I. General information

NPI: 1356849129
Provider Name (Legal Business Name): VERONICA NEALY-MORRIS CRTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2018
Last Update Date: 01/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10713 PALAISEAU CT
ORLANDO FL
32825-7193
US

IV. Provider business mailing address

10713 PALAISEAU CT
ORLANDO FL
32825-7193
US

V. Phone/Fax

Practice location:
  • Phone: 407-250-5502
  • Fax: 407-203-4596
Mailing address:
  • Phone: 407-953-5554
  • Fax: 407-203-4596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278P1004X
TaxonomyPulmonary Diagnostics Certified Respiratory Therapist
License NumberTT7525
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberTT7525
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: