Morell, Venita Weaver

Morell, Venita Weaver is an individual health care provider with primary practice located at 221 Hospital Dr Ne , Fort Walton Beach FL 32548-5066. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Morell, Venita Weaver can be contacted via phone (850) 833-9233.

Contact Information

Primary practice address
221 Hospital Dr Ne Fort Walton Beach FL 32548-5066
Phone: (850) 833-9233
Fax: (850) 833-9252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME66289 Florida

Profile Details

NPI number 1922067669
LBN Legal business name Morell, Venita Weaver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922067669 NPPES
Florida MEDICAID 268448900

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