Healthcare Provider Details

I. General information

NPI: 1619500287
Provider Name (Legal Business Name): HILLARY LYNN MORRIS AP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2020
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SE FEDERAL HWY STE 205
STUART FL
34997-8682
US

IV. Provider business mailing address

7000 SE FEDERAL HWY STE 205
STUART FL
34997-8682
US

V. Phone/Fax

Practice location:
  • Phone: 772-266-8165
  • Fax:
Mailing address:
  • Phone: 772-266-8165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP2914
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: