MEDICARE: MICHELE MORRISON INTERNAL MEDICINE INC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1245554823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELE MORRISON INTERNAL MEDICINE INC

Provider Business Mailing Address
First Line	:	1601 N PALM AVE STE 101
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3240
Country	:	US
Telephone Number	:	954-438-0033
Fax Number	:	954-438-4417

Provider Business Practice Location Address
First Line	:	1601 N PALM AVE STE 101
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33026-3240
Country	:	US
Telephone Number	:	954-438-0033
Fax Number	:	954-438-4417

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHELE MORRISON
Credential	:	MD
Telephone Number	:	954-438-0033

Provider Enumeration Date	:	03/25/2010
Last Update Date	:	10/22/2021

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