Healthcare Provider Details

I. General information

NPI: 1164425328
Provider Name (Legal Business Name): JOHN S MORGAN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 06/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 PINEHURST RD
DUNEDIN FL
34698-5427
US

IV. Provider business mailing address

1112 PINEHURST RD
DUNEDIN FL
34698-5427
US

V. Phone/Fax

Practice location:
  • Phone: 727-423-4000
  • Fax:
Mailing address:
  • Phone: 727-423-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH0005360
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: