Provider Demographics
NPI:1649486853
Name:MORFORD, DONALD WARREN (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:WARREN
Last Name:MORFORD
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 1:8608 HUNTERS CREEK DRIVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9001
Mailing Address - Country:US
Mailing Address - Phone:904-464-0427
Mailing Address - Fax:904-464-0427
Practice Address - Street 1:8608 HUNTERS CREEK DR S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9001
Practice Address - Country:US
Practice Address - Phone:904-464-0427
Practice Address - Fax:904-464-0427
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME35708207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine