Atlantic Endocrine Associates P a

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME42683 Issued in FL

Legal business name

ATLANTIC ENDOCRINE ASSOCIATES P A

Practice address

1360 Mason Ave
Suite C
Daytona Beach, FL 32117-5529

Phone

(386) 255-6241

NPI assigned

Mar 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard David Morris, MD

Title

President

Phone

(386) 255-6241

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1487825428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MASON AVE",
            "address_2": "SUITE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175529",
            "telephone_number": "386-255-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MASON AVE",
            "address_2": "SUITE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175529",
            "telephone_number": "386-255-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ENDOCRINE ASSOCIATES P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-255-6241",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME42683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.