Healthcare Provider Details

I. General information

NPI: 1407835184
Provider Name (Legal Business Name): MICHAEL B MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 HARRISON AVE
PANAMA CITY FL
32405-4423
US

IV. Provider business mailing address

2505 HARRISON AVE
PANAMA CITY FL
32405-4464
US

V. Phone/Fax

Practice location:
  • Phone: 850-233-3376
  • Fax: 850-522-8354
Mailing address:
  • Phone: 850-233-3376
  • Fax: 850-522-8354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberME59018
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberME59018
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberDR.0067572
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: