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NPI Code Detail

MEDICARE: LAPORSCHE T MORRIS

MEDICARE:   LAPORSCHE T MORRIS
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
1390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558928069
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAPORSCHE T MORRIS
Provider Business Mailing Address
First Line : 1053 SE 39TH TER
Second Line :
City : OKEECHOBEE
State : FL
Zip : 34974-3803
Country : US
Telephone Number : 561-876-4121
Fax Number :
Provider Business Practice Location Address
First Line : 3749 GEORGIA AVE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33405-2147
Country : US
Telephone Number : 561-876-4121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2019
Last Update Date : 05/21/2019

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Directions to “ LAPORSCHE T MORRIS ” Practice Location

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