# MORTON & BROWN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770909160
- **Authorized official:** MRS. TIFANI MEGAN REVELS LEE LMT (CEO,LMT)
- **Authorized official phone:** (863) 443-3168

## Contact information

- **Practice address:** 3625 S FLORIDA AVE, LAKELAND, FL 33803-4864
- **Practice address phone:** (863) 443-3168
- **Mailing address:** 2445 W HAVILAND RD, AVON PARK, FL 33825-8352
- **Mailing address phone:** (863) 443-3168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MA65750 | FL | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | MA74492 | FL | — |

## Other

- **Enumeration date:** 03/11/2014
- **Last updated:** 03/11/2014