Provider Demographics
NPI:1851390512
Name:MORRISH, THOMAS N (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:N
Last Name:MORRISH
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 1:701 MANATEE AVE W
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8604
Mailing Address - Country:US
Mailing Address - Phone:941-748-2455
Mailing Address - Fax:941-746-4554
Practice Address - Street 1:701 MANATEE AVE W
Practice Address - Street 2:SUITE 202
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8604
Practice Address - Country:US
Practice Address - Phone:941-748-2455
Practice Address - Fax:941-746-4554
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0059281207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14288OtherBCBS PROVIDER NUMBER
FL1006029OtherAETNA PROVIDER NUMBER
FLC19629Medicare UPIN
FL14288OtherBCBS PROVIDER NUMBER