MEDICARE: MORGAN METZ

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	207N00000X	Dermatology Physician	PA9115424	FL

General Provider Information

NPI Number	:	1497420293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN METZ

Provider Business Mailing Address
First Line	:	5000 BIG ISLAND DR UNIT 207
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32246-5333
Country	:	US
Telephone Number	:	904-378-6008
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 SOLANA RD
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-2231
Country	:	US
Telephone Number	:	904-273-2717
Fax Number	:

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

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	12/23/2021

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Directions to “ MORGAN METZ ” Practice Location

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