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Individual

BILLY MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
708 DEL PRADO BLVD, SUITE 9, CAPE CORAL, FL 33990-5616
(239) 574-5864
(239) 574-1451
Mailing address
708 DEL PRADO BLVD, SUITE 9, CAPE CORAL, FL 33990-5616
(239) 574-5864
(239) 574-1451

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102941
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
290136
AMERIGROUP
FL
05
292105700
FL
Enumeration date
05/20/2006
Last updated
10/13/2008
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