MEDICARE: MORGAN A MAKO

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1750234332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORGAN A MAKO

Provider Business Mailing Address
First Line	:	6 LIBERTY SQ # 2681
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02109-5800
Country	:	US
Telephone Number	:	617-297-8085
Fax Number	:	617-812-1689

Provider Business Practice Location Address
First Line	:	200 S ANDREWS AVE STE 504
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2066
Country	:	US
Telephone Number	:	617-297-8085
Fax Number	:	617-812-1689

Authorized Official
Title or Position	:	ADVANCED PRACTICE REGISTERED NURSE
Name	:	MORGAN A MAKO
Credential	:	APRN, FNP-C
Telephone Number	:	617-297-8085

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	03/04/2026

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