Healthcare Provider Details

I. General information

NPI: 1225212533
Provider Name (Legal Business Name): JOHN S MORROW MD P A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2007
Last Update Date: 05/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 5TH AVE N STE 304
ST PETERSBURG FL
33705-1400
US

IV. Provider business mailing address

1201 5TH AVE N STE 304
ST PETERSBURG FL
33705-1400
US

V. Phone/Fax

Practice location:
  • Phone: 727-820-7708
  • Fax: 727-820-7768
Mailing address:
  • Phone: 727-820-7708
  • Fax: 727-820-7768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberME0068803
License Number StateFL

VIII. Authorized Official

Name: PATRICIA MORROW
Title or Position: ATTORNEY
Credential: J.D.
Phone: 727-820-7708