MEDICARE: DR. SUSAN K. MORGAN MD

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	207RX0202X	Medical Oncology Physician	ME84812	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900004340	OTHER	FL	RR MCR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366425209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN K. MORGAN MD

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 GOODLETTE RD
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-5451
Country	:	US
Telephone Number	:	239-434-0656
Fax Number	:	239-261-0060

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	11/06/2024

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