| Morrison Medical Associates Pa | |
|
4101 Nw 4th St Suite 109 Plantation FL 33317-2850 | |
| (954) 792-6900 | |
| Not Available |
| Full Name | Morrison Medical Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4101 Nw 4th St, Plantation, Florida |
| Authorized Official Name and Position | Michael Anthony Morrison (OWNER/PRESIDENT) |
| Authorized Official Contact | 9547926900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morrison Medical Associates Pa 4101 Nw 4th St Suite 109 Plantation FL 33317-2850 Ph: (954) 792-6900 | Morrison Medical Associates Pa 4101 Nw 4th St Suite 109 Plantation FL 33317-2850 Ph: (954) 792-6900 |
| NPI Number | 1902086101 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 10/29/2010 |
| Medicare PECOS PAC ID | 5395929533 |
|---|---|
| Medicare Enrollment ID | O20110412000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902086101 | NPI | - | NPPES |
| 256721100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0051852 (Florida) | Primary |
| Provider Name | Michael Anthony Morrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124016332 PECOS PAC ID: 6204010440 Enrollment ID: I20110510000795 |
| Provider Name | Yvette D Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578735700 PECOS PAC ID: 6002088929 Enrollment ID: I20111018000611 |
| Provider Name | Pauline Y Golaub |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992944516 PECOS PAC ID: 6709058639 Enrollment ID: I20111018000666 |
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