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NPI Code Detail

MEDICARE: MORGAN ANN ROBERTS RD

MEDICARE:   MORGAN ANN ROBERTS  RD
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
1133V00000XRegistered DietitianND10524FL

General Provider Information

NPI Number : 1740136613
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN ANN ROBERTS RD
Provider Business Mailing Address
First Line : 13025 GEORGES CAY PL
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-2726
Country : US
Telephone Number : 443-966-0730
Fax Number :
Provider Business Practice Location Address
First Line : 13025 GEORGES CAY PL
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-2726
Country : US
Telephone Number : 443-966-0730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ MORGAN ANN ROBERTS RD” Practice Location

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