Healthcare Provider Details

I. General information

NPI: 1023699816
Provider Name (Legal Business Name): DOMINICK MORROW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2021
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US

IV. Provider business mailing address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-6812
  • Fax:
Mailing address:
  • Phone: 941-917-1788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD180707
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: