Healthcare Provider Details

I. General information

NPI: 1699630939
Provider Name (Legal Business Name): TAYLOR E MORGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4916 SW 163RD AVE
MIRAMAR FL
33027-4951
US

IV. Provider business mailing address

4916 SW 163RD AVE
MIRAMAR FL
33027-4951
US

V. Phone/Fax

Practice location:
  • Phone: 954-646-4053
  • Fax:
Mailing address:
  • Phone: 954-646-4053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11044311
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: