Provider Demographics
NPI:1700834470
Name:DR. R. DOUG. MORROW, DO
Entity Type:Organization
Organization Name:DR. R. DOUG. MORROW, DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:R.
Authorized Official - Middle Name:DOUG
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:DO, FACEP, P
Authorized Official - Phone:941-764-9560
Mailing Address - Street 1:PO BOX 510669
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33951-0669
Mailing Address - Country:US
Mailing Address - Phone:941-764-9560
Mailing Address - Fax:941-764-1854
Practice Address - Street 1:24451 SANDHILL BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33983-5214
Practice Address - Country:US
Practice Address - Phone:941-764-9560
Practice Address - Fax:941-764-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4602207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E14527Medicare UPIN
FLK9891Medicare ID - Type UnspecifiedGROUP NUMBER
FLDE7914Medicare ID - Type UnspecifiedRR MEDICARE