Provider Demographics
NPI:1841664117
Name:HAMILTON, MORRIS EUGENE III
Entity type:Individual
Prefix:MR
First Name:MORRIS
Middle Name:EUGENE
Last Name:HAMILTON
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:DREAM
Other - Middle Name:
Other - Last Name:KEEPERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7937 SE KINGSWAY ST
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-4700
Mailing Address - Country:US
Mailing Address - Phone:772-631-9240
Mailing Address - Fax:
Practice Address - Street 1:7937 SE KINGSWAY ST
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-4700
Practice Address - Country:US
Practice Address - Phone:772-631-9240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services