Morris Antzelevitch, MD PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME34285 Issued in FL

Legal business name

MORRIS ANTZELEVITCH, MD PA

Practice address

7351 W Oakland Park Blvd
Suite 105
Tamarac, FL 33319-7107

Phone

(954) 572-0100

Fax

(954) 572-4378

NPI assigned

Mar 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Morris Antzelevitch, M.D.

Title

President

Phone

(954) 575-0100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1831431683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7351 W OAKLAND PARK BLVD",
            "address_2": "SUITE 105",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333197107",
            "telephone_number": "954-572-0100",
            "fax_number": "954-572-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 W OAKLAND PARK BLVD",
            "address_2": "SUITE 105",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333197107",
            "telephone_number": "954-572-0100",
            "fax_number": "954-572-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS ANTZELEVITCH, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ANTZELEVITCH",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-575-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME34285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danilo Morejon Carbonell
• Morgan Levy, PHD, PLLC
• Shawn Morgan, PT
• Preden Morinvil
• Morr Young LLC
• Marilyn Morrison, PHARM.D.
• Morrison'S RX Inc
• Alfred R Mouallem, DMD
• Khalil Anton Mrabe, OTD, OTR/L
• Kelsey Muldoon, LMHC

• Primary Care Clinic/Center in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.