Provider Demographics
NPI:1619946944
Name:SAPERSTEIN, MORRIS LAURENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:LAURENCE
Last Name:SAPERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5321 GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4094
Mailing Address - Country:US
Mailing Address - Phone:727-842-2510
Mailing Address - Fax:727-848-0241
Practice Address - Street 1:5321 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4094
Practice Address - Country:US
Practice Address - Phone:727-842-2510
Practice Address - Fax:727-848-0241
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19319ME207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
51055OtherBLUE CROSS
51055OtherBLUE CROSS
D55947Medicare UPIN