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NPI 1265247142

NPI 1265247142 : MICHAEL MORRIS CORPORATION : MIAMI BEACH, FL

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General NPI Number Information
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    NPI Number           |    1265247142
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHAEL MORRIS CORPORATION 
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Dates
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    Enumeration Date     |    02/10/2025
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    Last Update Date     |    02/10/2025
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Provider Practice Location Address
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    Address Line         |    4441 COLLINS AVE 
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33140-3227
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    Country              |    US
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    Telephone            |    231-230-9536
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4441 COLLINS AVE 
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    City                 |    MIAMI BEACH
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    State                |    FL
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    Zip                  |    33140-3227
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    Country              |    US
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    Telephone            |    231-230-9536
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMIN
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    Name                 |     MICHAEL  MORRIS 
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    Credential           |    MP
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    Telephone            |    231-159-5569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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