Individual
DR. MORRIS EDWARD GALES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, CWS, FCCWS
Contact information
Practice address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(877) 866-7123
Mailing address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(877) 866-7123
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301049444
MI
208600000X
Surgery Physician
Primary
ME129562
FL
208D00000X
General Practice Physician
4301049444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020029253
MEDICARE TRAVELERS
MI
01
—
0206347852
BCBS
MI
05
—
2627623-10
—
MI
05
—
4786290-10
—
MI
01
—
75104A
HEALTH ALLIANCE PLAN
MI
01
—
DR630043
MCARE
MI
01
—
P50224
BLUE CARE NETWORK
MI
Enumeration date
08/09/2005
Last updated
03/17/2018
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