Individual
DR. JOHN GLENN MORRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7526
(352) 273-6890
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-7526
(352) 273-6890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME100291
FL
207RI0200X
Infectious Disease Physician
D29678
MD
207RI0200X
Infectious Disease Physician
Primary
ME100291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279935900
—
FL
05
—
365561000
—
MD
01
—
39903302
BC/BS
MD
Enumeration date
10/18/2006
Last updated
12/20/2011
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