Healthcare Provider Details

I. General information

NPI: 1770103830
Provider Name (Legal Business Name): HEALMI PHYSICIAN SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2020
Last Update Date: 04/19/2020
Certification Date: 04/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E JACKSON ST STE 3550
TAMPA FL
33602-5225
US

IV. Provider business mailing address

1103 GULF WAY
ST PETE BEACH FL
33706-4223
US

V. Phone/Fax

Practice location:
  • Phone: 727-644-3038
  • Fax:
Mailing address:
  • Phone: 727-644-3038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER A MORRISON
Title or Position: CEO/PRESIDENT/AUTHORIZED OFFICIAL
Credential: MD
Phone: 727-644-3030