Healthcare Provider Details

I. General information

NPI: 1649140641
Provider Name (Legal Business Name): MORGANA SASSO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N LAKEMOUNT
WINTER PARK FL
32792
US

IV. Provider business mailing address

4470 HICKORY STONE CIR
ORLANDO FL
32829-8239
US

V. Phone/Fax

Practice location:
  • Phone: 407-646-7460
  • Fax:
Mailing address:
  • Phone: 407-751-9868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPS66046
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: