| Morris Medical Center, P.a. | |
|
6800 Porto Fino Cir Fort Myers FL 33912-7137 | |
| (239) 418-0775 | |
| (239) 418-0630 |
| Full Name | Morris Medical Center, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 6800 Porto Fino Cir, Fort Myers, Florida |
| Authorized Official Name and Position | Dareld Ray Morris (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 2394180775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris Medical Center, P.a. 6800 Porto Fino Cir Fort Myers FL 33912-7137 Ph: (239) 418-0775 | Morris Medical Center, P.a. 6800 Porto Fino Cir Fort Myers FL 33912-7137 Ph: (239) 418-0775 |
| NPI Number | 1528148673 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 10/14/2016 |
| Medicare PECOS PAC ID | 8820354780 |
|---|---|
| Medicare Enrollment ID | O20171108003114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528148673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6547 (Florida) | Primary |
| Provider Name | Dareld R Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740371921 PECOS PAC ID: 8325214455 Enrollment ID: I20111220000593 |
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