NPI Code Detail JSON Logo

1477291912 NPI number — MARISSA DENISE MORGAN MD

NPI Number: 1477291912
Health Care Provider/Practitioner: MARISSA DENISE MORGAN MD

Information about “1477291912” NPI (MARISSA DENISE MORGAN MD) exists in 1477291912 in HTML format HTML  |  1477291912 in plain Text format TXT  |  1477291912 in PDF (Portable Document Format) PDF  |  1477291912 in an XML format XML  formats.

NPI Number : 1477291912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477291912",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MORGAN",
    "FirstName": "MARISSA",
    "MiddleName": "DENISE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1608 SE 3RD AVE FL 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT LAUDERDALE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33316-2564",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "954-785-4273",
    "MailingAddressFaxNumber": "954-784-9249",
    "FirstLinePracticeLocationAddress": "601 W ATLANTIC BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POMPANO BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33060-5916",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-785-4273",
    "PracticeLocationAddressFaxNumber": "954-784-9249",
    "EnumerationDate": "05/24/2022",
    "LastUpdateDate": "10/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": "ME176397",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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