MEDICARE: MORGAN N. WINTERS NP-C

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
1	363LF0000X	Family Nurse Practitioner	APRN11012691	FL

General Provider Information

NPI Number	:	1154905149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN N. WINTERS NP-C

Provider Business Mailing Address
First Line	:	5620 CASTLEGATE AVE
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33331-3263
Country	:	US
Telephone Number	:	609-240-5282
Fax Number	:

Provider Business Practice Location Address
First Line	:	2133 N COMMERCE PKWY
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3238
Country	:	US
Telephone Number	:	954-686-2060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2021
Last Update Date	:	05/06/2021

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