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General NPI Number Information
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NPI Number | 1942446836
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Entity Type | Organization
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Legal Business Name | MORGAN EYE CARE SERVICES, LLC
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 1981 S US HIGHWAY 1
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City | FORT PIERCE
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State | FL
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Zip | 34950-5147
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Country | US
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Telephone | 772-468-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 237 NW TOSCANE TRL
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-2623
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Country | US
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Telephone | 772-979-0850
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOE MORGAN
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Credential | DO
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Telephone | 772-979-0850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OS3199
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License Number State | FL
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