Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME0068803 | FL |
NPI | 1265456461 |
---|---|
Provider Name | John S Morrow |
First Address | St Petersburg, FL 33705-1400 |
Second Address | St Petersburg, FL 33705-1400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 30/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10879501 | CITRUS (01) | FL |
27387X | BCBS (01) | FL |
2887670 | AETNA HMO (01) | FL |
378089900 | (05) | FL |
5101096 | AETNA NON HMO (01) | FL |
F39468 | (02) | FL |
P00079863 | MEDICARE RAILROAD (01) | FL |
RAM1005201 | UNITED (01) | FL |