Provider Demographics
NPI:1861714271
Name:MORGAN MEDICAL & THERAPY CENTER, INC
Entity type:Organization
Organization Name:MORGAN MEDICAL & THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-261-0001
Mailing Address - Street 1:836 PONCE DE LEON BLVD
Mailing Address - Street 2:STE 204
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3067
Mailing Address - Country:US
Mailing Address - Phone:305-261-0001
Mailing Address - Fax:305-261-0009
Practice Address - Street 1:836 PONCE DE LEON BLVD
Practice Address - Street 2:STE 204
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3067
Practice Address - Country:US
Practice Address - Phone:305-261-0001
Practice Address - Fax:305-261-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center