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NPI Code Detail

MEDICARE: DR. MORRIS EDWARD GALES III MD, CWS, FCCWS

MEDICARE:  DR. MORRIS EDWARD GALES III MD, CWS, FCCWS
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
1208600000XSurgery Physician4301049444MI
2208D00000XGeneral Practice Physician4301049444MI
3208600000XSurgery PhysicianME129562FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5020029253OTHERMIMEDICARE TRAVELERS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P50224OTHERMIBLUE CARE NETWORK
275104AOTHERMIHEALTH ALLIANCE PLAN
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4DR630043OTHERMIMCARE
60206347852OTHERMIBCBS
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538160908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MORRIS EDWARD GALES III MD, CWS, FCCWS
Provider Business Mailing Address
First Line : 3601 SW 160TH AVE STE 250
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-6314
Country : US
Telephone Number : 877-866-7123
Fax Number :
Provider Business Practice Location Address
First Line : 3601 SW 160TH AVE STE 250
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-6314
Country : US
Telephone Number : 877-866-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/17/2018

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Directions to “ DR. MORRIS EDWARD GALES III MD, CWS, FCCWS” Practice Location

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