MEDICARE: DONALD J. MORRIS, M.D., PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	M364375	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DD1359	OTHER	FL	RR MEDICARE

General Provider Information

NPI Number	:	1225062821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONALD J. MORRIS, M.D., PA

Provider Business Mailing Address
First Line	:	3850 20TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2472
Country	:	US
Telephone Number	:	772-299-3690
Fax Number	:	772-299-3680

Provider Business Practice Location Address
First Line	:	3850 20TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2472
Country	:	US
Telephone Number	:	772-299-3690
Fax Number	:	772-299-3680

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DONALD JOSEPH MORRIS
Credential	:	M.D.
Telephone Number	:	772-299-3690

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	08/22/2020

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