Provider Demographics
NPI:1417954496
Name:GUTHRIE, MORRIS EDWARD III (MD)
Entity Type:Individual
Prefix:
First Name:MORRIS
Middle Name:EDWARD
Last Name:GUTHRIE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8740 N KENDALL DR
Mailing Address - Street 2:SUITE 117
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2212
Mailing Address - Country:US
Mailing Address - Phone:305-709-2211
Mailing Address - Fax:305-290-3710
Practice Address - Street 1:8740 N KENDALL DR
Practice Address - Street 2:SUITE 117
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2212
Practice Address - Country:US
Practice Address - Phone:305-709-2211
Practice Address - Fax:305-290-3710
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82578207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL261523100Medicaid
H41376Medicare UPIN
H41376Medicare UPIN