Provider Demographics
NPI:1619047495
Name:MORELLI, JOSEPH T III (DO)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:T
Last Name:MORELLI
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 SW 216TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1003
Mailing Address - Country:US
Mailing Address - Phone:305-278-6434
Mailing Address - Fax:305-278-6434
Practice Address - Street 1:2855 OVERSEAS HWY
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2239
Practice Address - Country:US
Practice Address - Phone:305-743-4000
Practice Address - Fax:305-743-4000
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006688E207Q00000X
FLOS11563207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000546347OtherHIGHMARK PROVIDER ID
FL004576700Medicaid
PA001147571Medicaid
PAMO546347Medicare ID - Type Unspecified
PA000546347OtherHIGHMARK PROVIDER ID
FLGB041ZMedicare Oscar/Certification