Healthcare Provider Details

I. General information

NPI: 1801700604
Provider Name (Legal Business Name): MORGAN REBECCA WHITESELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3475 E BAY DR
LARGO FL
33771-5905
US

IV. Provider business mailing address

2 EAGLE LN
PALM HARBOR FL
34683-6424
US

V. Phone/Fax

Practice location:
  • Phone: 727-535-9700
  • Fax:
Mailing address:
  • Phone: 727-215-6881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number9478801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: