Healthcare Provider Details

I. General information

NPI: 1164425930
Provider Name (Legal Business Name): ROBERT MORGAN EDUCATIONAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18180 SW 122ND AVE
MIAMI FL
33177-2407
US

IV. Provider business mailing address

18180 SW 122ND AVE
MIAMI FL
33177-2407
US

V. Phone/Fax

Practice location:
  • Phone: 305-253-9920
  • Fax: 305-259-3270
Mailing address:
  • Phone: 305-253-9920
  • Fax: 305-259-3270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MICHAEL PREBLE
Title or Position: HEALTH SCIENCES COORDINATOR
Credential: DDS
Phone: 305-253-9920