Provider Demographics
NPI:1346286309
Name:MORRISON, LOUIS T (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:T
Last Name:MORRISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 SOUTH STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317
Mailing Address - Country:US
Mailing Address - Phone:954-583-0122
Mailing Address - Fax:954-583-9285
Practice Address - Street 1:910 S STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-4523
Practice Address - Country:US
Practice Address - Phone:954-583-0122
Practice Address - Fax:954-583-9285
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60703207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5044581OtherAETNA
FL371447100Medicaid
287669OtherAVMED
48032OtherAARP
18257OtherBCBS
18257Medicare ID - Type Unspecified
18257OtherBCBS