Morrison, Matthew John

Morrison, Matthew John is an sole proprietor health care provider with primary practice located at 1690 Dunlawton Ave Ste 210 , Port Orange FL 32127-8980. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Morrison, Matthew John can be contacted via phone (386) 763-4920.

Contact Information

Primary practice address
1690 Dunlawton Ave Ste 210 Port Orange FL 32127-8980
Fax: (386) 763-4939
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9100655 Florida

Profile Details

NPI number 1104814177
LBN Legal business name Morrison, Matthew John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Apr 30th, 2021 - about 4 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 1104814177 NPPES
Florida MEDICAID 290535300

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