Healthcare Provider Details

I. General information

NPI: 1245422476
Provider Name (Legal Business Name): STEPHEN RAY MORGAN RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2007
Last Update Date: 08/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 BROKEN SOUND PKWY STE 500
BOCA RATON FL
33487-2791
US

IV. Provider business mailing address

92 METCALF DR
FLETCHER NC
28732-9303
US

V. Phone/Fax

Practice location:
  • Phone: 800-875-8999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberYM011672
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRRT0000003935
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number0117005829
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: