MEDICARE: ASHONA MORGAN AA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1255705158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHONA MORGAN AA

Provider Business Mailing Address
First Line	:	1870 NE 167TH ST APT 8
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3035
Country	:	US
Telephone Number	:	305-203-9588
Fax Number	:

Provider Business Practice Location Address
First Line	:	1870 NE 167TH ST APT 8
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3035
Country	:	US
Telephone Number	:	305-988-6520
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2015
Last Update Date	:	11/16/2015

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