Provider Demographics
NPI:1932630068
Name:MORRISON, ALICIA C (MD)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:C
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8230 210TH ST S STE 201
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1605
Mailing Address - Country:US
Mailing Address - Phone:561-269-8492
Mailing Address - Fax:561-726-1194
Practice Address - Street 1:8230 210TH ST S STE 201
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1605
Practice Address - Country:US
Practice Address - Phone:561-269-8492
Practice Address - Fax:561-726-1194
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME144282208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107107800Medicaid