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NPI Code Detail

MEDICARE: DR. MATTHEW LAWRENCE MORGAN M.D.

MEDICARE: DR. MATTHEW LAWRENCE MORGAN 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
1207L00000XAnesthesiology Physician056214GA
2207L00000XAnesthesiology PhysicianME103395FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770673527
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW LAWRENCE MORGAN M.D.
Provider Business Mailing Address
First Line : PO BOX 160489
Second Line :
City : MIAMI
State : FL
Zip : 33116-0489
Country : US
Telephone Number : 706-566-9993
Fax Number :
Provider Business Practice Location Address
First Line : 1350 13TH AVE S
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3203
Country : US
Telephone Number : 706-544-2181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 12/03/2010

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