Healthcare Provider Details

I. General information

NPI: 1073250734
Provider Name (Legal Business Name): LINDSAY MORGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2022
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9109 BAYMEADOWS RD STE 1
JACKSONVILLE FL
32256-1842
US

IV. Provider business mailing address

9109 BAYMEADOWS RD STE 1
JACKSONVILLE FL
32256-1842
US

V. Phone/Fax

Practice location:
  • Phone: 304-691-1824
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN29273
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: