MR. CARL GLENMORE MORRISON SR. (NPI# 1194147611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194147611 |
Entity Type | Individual |
Full Name | MR. CARL GLENMORE MORRISON SR. |
Credential | M.D. |
Practice Address |
2125 Windbrook Drive Palm Bay FL 32909 |
Mailing Address |
P.o. Box 110982 Palm Bay FL 32911 |
Practice Telephone | 3216768409 |
Mailing Telephone | 3216768409 |
Enumeration Date | 2014-01-17 |
Last Update Date | 2014-06-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | ME64000 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518037316 | Carl J Morrison | Emergency Medicine | 1 Medical Center Dr, Biddeford, ME 04005-9422 | 2006-11-09 |
1932142379 | Carl Morrison | Pathology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2006-06-14 |
Street Address |
2125 WINDBROOK DRIVE |
City | PALM BAY |
State | FL |
Zip Code | 32909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205447349 | Sarah Nicosia | Registered Nurse | 2752 Palisades Dr, Palm Bay, FL 32909 | 2020-08-12 |
1447881297 | Shangri-la of Palm Bay Alf, LLC | Assisted Living Facility | 3604 Jupiter Blvd. Se, Palm Bay, FL 32909 | 2020-01-30 |
1972094357 | Mindful Counseling and Wellness LLC | Social Worker | 221 Devlin Ct Se, Palm Bay, FL 32909 | 2018-05-22 |
1306348859 | Mallory Kathleen Herndon | Behavior Technician | 458 Barcelona Rd, Palm Bay, FL 32909 | 2018-03-01 |
1548786627 | Chotsani Merrill | Home Health Aide | 781 Davenport St Se, Palm Bay, FL 32909 | 2017-08-21 |
1639629538 | Maggie Cameron | Clinic/Center | 2511 Quentin Ave Ne, Palm Bay, FL 32909 | 2016-10-04 |
1194195016 | Dawn Goodwin | Pharmacist | 3450 Bayside Lakes Shopping Center, Palm Bay, FL 32909 | 2015-10-05 |
1124407796 | Jorge Ortiz | Physical Therapist | 470 Malabar Rd Se, Ste 102, Palm Bay, FL 32909 | 2015-05-28 |
1932506227 | Annalisa Tietjen I | Dental Hygienist | 714 Ave C, Fort Pierce, FL 32909 | 2014-12-02 |
1366888422 | Kristie M Houle | Nurse Practitioner | 3238 Warsaw Ave, Palm Bay, FL 32909 | 2013-05-16 |
Find all providers in zip 32909 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1558849885 | The Brevard Health Alliance, Inc. | General Practice | 1361 Florida Ave Ne Ste 2, Palm Bay, FL 32905 | 2018-07-30 |
1467712695 | Space Coast Volunteers In Medicine | General Practice | 1460 Baytree Dr Ne, Palm Bay, FL 32905-3900 | 2012-05-22 |
1790948941 | Sunshine Walk In Clinic | General Practice | 5205 Babcock St Ne, Suite 3, Palm Bay, FL 32905-4638 | 2008-07-08 |
1205026291 | Vicdia L Sostre Concepcion | General Practice | 5270 Babcock St Ne Ste 1, Palm Bay, FL 32905-4616 | 2007-07-26 |
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1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.