Active NPI
Dylan Morrissey, MD
- Internal Medicine Physician
- Maitland, FL
National Provider Identifier
1760064265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME163845
- Practice address
- 630 N Maitland Ave Ste B
Maitland, FL 32751-4423 - Phone
- (407) 412-6799
- Fax
- (407) 598-8702
- NPI assigned
- Apr 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME163845 | FL | Primary |
Addresses
Primary practice location
630 N Maitland Ave Ste B
Maitland, FL 32751-4423
Mailing address
933 Lee Rd Ste 401
Orlando, FL 32810-5537
Phone (407) 412-6799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 14, 2024 through May 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME163845 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1760064265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 LEE RD STE 401",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328105537",
"telephone_number": "407-412-6799",
"fax_number": "407-598-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N MAITLAND AVE STE B",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327514423",
"telephone_number": "407-412-6799",
"fax_number": "407-598-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISSEY",
"first_name": "DYLAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-23",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME163845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maitland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.