Provider Demographics
NPI:1114982071
Name:EPSTEIN, MORRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 NW 84TH AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1817
Mailing Address - Country:US
Mailing Address - Phone:954-475-9090
Mailing Address - Fax:954-475-2242
Practice Address - Street 1:350 NW 84TH AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1817
Practice Address - Country:US
Practice Address - Phone:954-475-9090
Practice Address - Fax:954-475-2242
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL02542Medicare ID - Type Unspecified
FLD82309Medicare UPIN