Individual
ROBERT MORRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1223 SE GABE ST, LAKE CITY, FL 32025-3205
(386) 288-8100
Mailing address
1223 SE GABE ST, LAKE CITY, FL 32025-3205
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5199640
FL
Other
Enumeration date
08/17/2014
Last updated
08/17/2014
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