Provider Demographics
NPI:1518114727
Name:MICHELE G. MORROW D.O., P.A.
Entity Type:Organization
Organization Name:MICHELE G. MORROW D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, VICE PRESIDENT, TREASURE
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:GARETT
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:786-282-2212
Mailing Address - Street 1:PO BOX 800407
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33280-0407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 NW 1ST ST STE 110
Practice Address - Street 2:3270 N. W. 36TH STREET
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33128-1902
Practice Address - Country:US
Practice Address - Phone:786-466-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0S06289207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL80703OtherMEDICARE PROVIDER NUMBER
FLF43261Medicare UPIN