MEDICARE: DR. DONALD WARREN MORFORD 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
1	207R00000X	Internal Medicine Physician	ME35708	FL

General Provider Information

NPI Number	:	1649486853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD WARREN MORFORD M.D.

Provider Business Mailing Address
First Line	:	8608 HUNTERS CREEK DRIVE SOUTH
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9001
Country	:	US
Telephone Number	:	904-464-0427
Fax Number	:	904-464-0427

Provider Business Practice Location Address
First Line	:	8608 HUNTERS CREEK DR S
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-9001
Country	:	US
Telephone Number	:	904-464-0427
Fax Number	:	904-464-0427

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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