Individual
MR. CARL GLENMORE MORRISON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2125 WINDBROOK DRIVE, PALM BAY, FL 32909
(321) 676-8409
Mailing address
P.O. BOX 110982, PALM BAY, FL 32911
(321) 676-8409
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME64000
FL
Other
Enumeration date
01/17/2014
Last updated
06/23/2014
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