Morris, Shakera Ann

Morris, Shakera Ann is an sole proprietor health care provider with primary practice located at 905 Ne Prima Vista Blvd Ste A , Port St Lucie FL 34952-2360. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Morris, Shakera Ann can be contacted via phone (772) 634-2451.

Contact Information

Primary practice address
905 Ne Prima Vista Blvd Ste A Port St Lucie FL 34952-2360
Phone: (772) 634-2451
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1447753694
LBN Legal business name Morris, Shakera Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2018
Last updated Mar 14th, 2018 - about 6 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 1447753694 NPPES
Florida MEDICAID 019104900

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