Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 9701828 | NC |
Y | 208600000X | Surgeon | 9701828 | NC |
NPI | 1023030004 |
---|---|
Provider Name | Mr. Florias Andrew Morfesis |
First Address | Fayetteville, NC 28304-3433 |
Second Address | Fayetteville, NC 28304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 31/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11019 | BC/BS (01) | NC |
1738859 | UHC (01) | |
8911019 | (05) | NC |
99850 | MEDCOST (01) | |
C58340 | (02) |