Healthcare Provider Details

I. General information

NPI: 1508427329
Provider Name (Legal Business Name): RICHARD MORGAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 04/08/2024
Certification Date: 04/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 N KENDALL DR STE 405W
MIAMI FL
33176-2132
US

IV. Provider business mailing address

PO BOX 198054
ATLANTA GA
30384-4701
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-3876
  • Fax:
Mailing address:
  • Phone: 786-596-3876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOS19943
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOS19943
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: