Provider Demographics
NPI:1831364454
Name:MORRIS, DEBORAH A (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:A
Last Name:MORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:A
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1405 CENTERVILLE RD STE 5200
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4663
Mailing Address - Country:US
Mailing Address - Phone:850-431-3933
Mailing Address - Fax:
Practice Address - Street 1:1405 CENTERVILLE RD STE 5200
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4663
Practice Address - Country:US
Practice Address - Phone:850-431-3933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME145461207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1831364454Medicaid
VAPAROtherMULTIPLAN
VAPAROtherCIGNA
NC5909432Medicaid
VA1831364454OtherVIRGINIA PREMIER HEALTH PLAN
VA459461OtherANTHEM BC/BS
VAPAROtherCORVEL
VAPAROtherVIRGINIA HEALTH NETWORK
VAVV5866AMedicare PIN
VA1831364454OtherUNITED HEALTHCARE
VAPAROtherAETNA
VAP01191731Medicare PIN
VA-022OtherTRICARE/CHAMPUS
VA10094871OtherOPTIMA HEALTH
VA18313664454OtherCOVENTRY HEALTH NETWORK
VAPAROtherUSA MANAGED CARE