Provider Demographics
NPI:1265456461
Name:MORROW, JOHN S (MD P A)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:S
Last Name:MORROW
Suffix:
Gender:M
Credentials:MD P A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 5TH AVE N
Mailing Address - Street 2:STE 304
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1400
Mailing Address - Country:US
Mailing Address - Phone:727-820-7708
Mailing Address - Fax:727-820-7768
Practice Address - Street 1:1201 5TH AVE N
Practice Address - Street 2:STE 304
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1400
Practice Address - Country:US
Practice Address - Phone:727-820-7708
Practice Address - Fax:727-820-7768
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0068803207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27387XOtherBCBS
FL2887670OtherAETNA HMO
FLP00079863OtherMEDICARE RAILROAD
FL10879501OtherCITRUS
FLRAM1005201OtherUNITED
FL378089900Medicaid
FL5101096OtherAETNA NON HMO
FLRAM1005201OtherUNITED
FL5101096OtherAETNA NON HMO