MEDICARE: DR. COLE PATTON MORGAN DPT

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1205564796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLE PATTON MORGAN DPT

Provider Business Mailing Address
First Line	:	2547 ANGEL CT
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32563-5552
Country	:	US
Telephone Number	:	850-741-6715
Fax Number	:	850-204-0489

Provider Business Practice Location Address
First Line	:	1001 MAR WALT DR APT 112
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-6745
Country	:	US
Telephone Number	:	850-741-6715
Fax Number	:	850-204-0489

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

Provider Enumeration Date	:	08/11/2022
Last Update Date	:	07/11/2024

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