Provider Demographics
NPI:1053578880
Name:FUNK, MORRIS (MD)
Entity type:Individual
Prefix:
First Name:MORRIS
Middle Name:
Last Name:FUNK
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 1:11877 WINGED FOOT TER
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-7814
Mailing Address - Country:US
Mailing Address - Phone:954-344-9598
Mailing Address - Fax:954-344-9837
Practice Address - Street 1:11877 WINGED FOOT TER
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7814
Practice Address - Country:US
Practice Address - Phone:954-344-9598
Practice Address - Fax:954-344-9837
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 37830207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease