Provider Demographics
NPI:1003580630
Name:MORRISON CLINIC
Entity Type:Organization
Organization Name:MORRISON CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FAANS
Authorized Official - Phone:561-284-8455
Mailing Address - Street 1:12933 CALAIS CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1421
Mailing Address - Country:US
Mailing Address - Phone:561-284-8455
Mailing Address - Fax:561-284-8775
Practice Address - Street 1:2290 10TH AVE N STE 401
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6609
Practice Address - Country:US
Practice Address - Phone:561-284-8455
Practice Address - Fax:561-284-8775
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORRISON CLINIC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-06
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty