Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | DN0010351 | FL |
NPI | 1053449033 |
---|---|
Provider Name | Dr. Stephen C. Morris |
First Address | Seminole, FL 33772-7328 |
Second Address | Seminole, FL 33772-7328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 12/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T87526 | (02) | FL |