Individual
MARK MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 9TH ST N, ST PETERSBURG, FL 33704-4222
(727) 821-9343
(727) 822-3285
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME27038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035541100
—
FL
01
—
52914Z
MEDICARE PTAN
FL
Enumeration date
06/29/2006
Last updated
02/03/2010
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