Provider Demographics
NPI:1043821788
Name:MORELL, JOSHUA ALEC (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALEC
Last Name:MORELL
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:19575 BISCAYNE BLVD STE 107
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2309
Mailing Address - Country:US
Mailing Address - Phone:305-933-1745
Mailing Address - Fax:
Practice Address - Street 1:19575 BISCAYNE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2309
Practice Address - Country:US
Practice Address - Phone:305-933-1745
Practice Address - Fax:305-933-2463
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-16
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL5866152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist