MEDICARE: MERRI BETH MORRIS M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	29780	NC
2	207V00000X	Obstetrics & Gynecology Physician	16271	AZ
3	207V00000X	Obstetrics & Gynecology Physician	021413	TN
4	207VG0400X	Gynecology Physician	23158	SC
5	207VG0400X	Gynecology Physician	ME96883	FL

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

NPI Number	:	1821085051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERRI BETH MORRIS M.D.

Provider Business Mailing Address
First Line	:	726 S TAMPA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32805-3646
Country	:	US
Telephone Number	:	407-246-1788
Fax Number	:	407-246-8466

Provider Business Practice Location Address
First Line	:	726 S TAMPA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32805-3646
Country	:	US
Telephone Number	:	407-246-1788
Fax Number	:	407-246-8466

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	07/29/2014

710 S TAMPA AVE STE 203
ORLANDO, FL
32805-3646

Practice Phone: 407-905-8827
Practice Fax: