Provider Demographics
NPI:1356849129
Name:NEALY-MORRIS, VERONICA (CRTT)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:NEALY-MORRIS
Suffix:
Gender:F
Credentials:CRTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10713 PALAISEAU CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-7193
Mailing Address - Country:US
Mailing Address - Phone:407-953-5554
Mailing Address - Fax:407-203-4596
Practice Address - Street 1:10713 PALAISEAU CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-7193
Practice Address - Country:US
Practice Address - Phone:407-250-5502
Practice Address - Fax:407-203-4596
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT75252278P1004X, 227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Diagnostics