Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME19671 | FL |
NPI | 1043281488 |
---|---|
Provider Name | James Bruce Morris |
First Address | West Palm Beach, FL 33412-3047 |
Second Address | West Palm Beach, FL 33412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 09/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D60351 | (02) |