Basic Information
Provider Information
NPI: 1598751679
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAUS
FirstName: MORRIS
MiddleName: SAMUEL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4675 LINTON BLVD
Address2: SUITE 202
City: DELRAY BEACH
State: FL
PostalCode: 334456611
CountryCode: US
TelephoneNumber: 5614955700
FaxNumber: 5614952020
Practice Location
Address1: 4675 LINTON BLVD
Address2: SUITE 202
City: DELRAY BEACH
State: FL
PostalCode: 334456611
CountryCode: US
TelephoneNumber: 5614955700
FaxNumber: 5614952020
Other Information
ProviderEnumerationDate: 09/23/2005
LastUpdateDate: 04/02/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X73948FLY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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