Provider Demographics
NPI:1194948091
Name:MORSCH, RICHARD A (PA-C)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:A
Last Name:MORSCH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10131 FOREST HILL BLVD.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414
Mailing Address - Country:US
Mailing Address - Phone:561-798-6600
Mailing Address - Fax:561-615-1958
Practice Address - Street 1:440 N STATE ROAD 7
Practice Address - Street 2:SUITE B
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-3504
Practice Address - Country:US
Practice Address - Phone:561-798-6600
Practice Address - Fax:561-615-1958
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA2971363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL292978300Medicaid
FLR07407Medicare UPIN
FL292978300Medicaid