Provider Demographics
NPI:1285636779
Name:SILVER, MORRIS MITCHELL (DO)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:MITCHELL
Last Name:SILVER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:M
Other - Middle Name:MITCHELL
Other - Last Name:SILVER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:4495 FURLING LN
Mailing Address - Street 2:STE 210
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-5423
Mailing Address - Country:US
Mailing Address - Phone:850-460-8483
Mailing Address - Fax:
Practice Address - Street 1:4495 FURLING LN
Practice Address - Street 2:SUITE 210
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-5384
Practice Address - Country:US
Practice Address - Phone:850-460-8483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4704207V00000X
SCDO37659207VF0040X
FLOS13791207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX124016002Medicaid
SC7153Medicare PIN
TX124016002Medicaid
TX613640Medicare PIN
TXF14550Medicare UPIN