Individual
MISS REBECCA ANN MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA109
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004323800
—
FL
01
—
FQ8942
MEDICARE
FL
Enumeration date
02/27/2007
Last updated
07/27/2016
Update your record
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