Individual
STEPHANIE A MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME168239
FL
208M00000X
Hospitalist Physician
Primary
ME168239
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123623500
—
FL
01
—
TJ842
MEDICARE HF
FL
Enumeration date
03/23/2021
Last updated
09/03/2024
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