MEDICARE: MORTON PLANT HEALTH SERVICES INC

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	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1922081033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORTON PLANT HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	P O BOX 404841
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-0001
Country	:	US
Telephone Number	:	813-852-3272
Fax Number	:	813-852-3233

Provider Business Practice Location Address
First Line	:	8787 BRYAN DAIRY RD
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33777-1251
Country	:	US
Telephone Number	:	727-394-5200
Fax Number	:

Authorized Official
Title or Position	:	VP OPERATIONS
Name	:	MR. JOHN D COURIS
Credential	:
Telephone Number	:	727-462-7746

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	07/31/2007

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Directions to “MORTON PLANT HEALTH SERVICES INC ” Practice Location

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