Healthcare Provider Details
I. General information
NPI: 1417127101
Provider Name (Legal Business Name): CAROL N MORRISON DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/10/2008
Last Update Date: 05/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2831 RINGLING BLVD SUITE 103-A
SARASOTA FL
34237-5349
US
IV. Provider business mailing address
2831 RINGLING BLVD SUITE 103-A
SARASOTA FL
34237-5334
US
V. Phone/Fax
- Phone: 941-366-1599
- Fax: 941-366-1599
- Phone: 941-366-1599
- Fax: 941-366-1599
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | PO 00002028 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | PO 00002028 |
| License Number State | FL |
VIII. Authorized Official
Name: DR.
CAROL
N
MORRISON
Title or Position: DOCTOR OF PODIATRIC MEDICINE
Credential: D.P.M
Phone: 941-366-1599