Provider Demographics
NPI:1770706863
Name:FELIX MORRIS M.D., LLC
Entity type:Organization
Organization Name:FELIX MORRIS M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-764-7710
Mailing Address - Street 1:416 N SEMINARY ST
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4657
Mailing Address - Country:US
Mailing Address - Phone:256-764-7710
Mailing Address - Fax:256-765-3888
Practice Address - Street 1:1777 CURTIS DRIVE
Practice Address - Street 2:
Practice Address - City:IUKA
Practice Address - State:MS
Practice Address - Zip Code:38852
Practice Address - Country:US
Practice Address - Phone:256-764-7710
Practice Address - Fax:256-765-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00012505207RP1001X, 207RS0012X
MS18158207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Not Answered207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-07933OtherBLUE CROSS & BLUE SHIELD
C73788Medicare UPIN