Healthcare Provider Details

I. General information

NPI: 1346338019
Provider Name (Legal Business Name): JEFFREY DEMOND MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E OAKLAND PARK BLVD SUITE 356
OAKLAND PARK FL
33334-2148
US

IV. Provider business mailing address

4611 HARD SCRABBLE RD STE 109
COLUMBIA SC
29229-9499
US

V. Phone/Fax

Practice location:
  • Phone: 843-319-9432
  • Fax: 800-640-5242
Mailing address:
  • Phone: 843-933-9227
  • Fax: 888-580-5868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number4301088881
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: