Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | H4704 | TX |
N | 207V00000X | Obstetrician & Gynecologist | OS13791 | FL |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | DO37659 | SC |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | OS13791 | FL |
NPI | 1285636779 |
---|---|
Provider Name | Dr. Morris Mitchell Silver |
First Address | Destin, FL 32541-5423 |
Second Address | Destin, FL 32541-5384 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 23/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
124016002 | (05) | TX |
F14550 | (02) | TX |
FC6534 | (02) | SC |