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NPI Code Detail

MEDICARE: GARY W. MORSE P.A.

MEDICARE: GARY W. MORSE P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant1040SC
2363A00000XPhysician AssistantPA9106977FL

General Provider Information

NPI Number : 1073561171
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY W. MORSE P.A.
Provider Business Mailing Address
First Line : PO BOX 8600
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-8600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 60 MEMORIAL MEDICAL PKWY
Second Line :
City : PALM COAST
State : FL
Zip : 32164-5980
Country : US
Telephone Number : 386-586-2010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 12/28/2012

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