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NPI Code Detail

MEDICARE: WILLIAM ROBERT MORGAN M.D.

MEDICARE:   WILLIAM ROBERT MORGAN  M.D.
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
1207Q00000XFamily Medicine PhysicianME0062802FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15618710OTHERFIRST HEALTH
2201841070OTHERFLTAX ID FOR GCMG
338609OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1265472864
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM ROBERT MORGAN M.D.
Provider Business Mailing Address
First Line : 1101 TAMIAMI TRL S
Second Line : SUITE 101
City : VENICE
State : FL
Zip : 34285-4133
Country : US
Telephone Number : 941-480-2831
Fax Number : 941-485-8062
Provider Business Practice Location Address
First Line : 333 MIAMI AVE W
Second Line :
City : VENICE
State : FL
Zip : 34285-2361
Country : US
Telephone Number : 941-484-4778
Fax Number : 941-485-8062
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 08/04/2011

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Directions to “ WILLIAM ROBERT MORGAN M.D.” Practice Location

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