Healthcare Provider Details

I. General information

NPI: 1558058792
Provider Name (Legal Business Name): MORGAN DUFFY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 01/08/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 WEST CYPRESS CREEK ROAD
FORT LAUDERDALE FL
33309
US

IV. Provider business mailing address

10922 BAL HARBOR DR
BOCA RATON FL
33498-4545
US

V. Phone/Fax

Practice location:
  • Phone: 954-939-5000
  • Fax:
Mailing address:
  • Phone: 732-616-4358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9468022
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number152098
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: