MEDICARE: VERNON RAYMOND MORRIS JR. MD

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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	020645026	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	62940	OTHER	FL	BLUE CROSS BLUE SHIELD
3	ME85558	OTHER	FL	STATE LIC

General Provider Information

NPI Number	:	1669424438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERNON RAYMOND MORRIS JR. MD

Provider Business Mailing Address
First Line	:	3001 N ROCKY POINT DR E
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5810
Country	:	US
Telephone Number	:	813-289-9613
Fax Number	:	813-902-6324

Provider Business Practice Location Address
First Line	:	3001 N ROCKY POINT DR E
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-5810
Country	:	US
Telephone Number	:	813-289-9613
Fax Number	:	813-902-6324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	02/13/2008

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