Provider Demographics
NPI:1760426696
Name:MORRIS, LEILA C (MD)
Entity Type:Individual
Prefix:DR
First Name:LEILA
Middle Name:C
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3100 CORAL HILLS DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4137
Mailing Address - Country:US
Mailing Address - Phone:954-575-3911
Mailing Address - Fax:954-575-3938
Practice Address - Street 1:3100 CORAL HILLS DR
Practice Address - Street 2:SUITE 303
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4137
Practice Address - Country:US
Practice Address - Phone:954-575-3911
Practice Address - Fax:954-575-3938
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME85521207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1760426696OtherNATIONAL PROVIDER ID
FL412053632OtherTAX ID
FL51487OtherMEDICARE
FL85521OtherMEDICAL LICENSE
FLH19499Medicare UPIN