Individual
PHILIP JEROME MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
6312 INTERBAY AVE, TAMPA, FL 33611-4909
(813) 449-1966
Mailing address
6312 INTERBAY AVE, TAMPA, FL 33611-4909
(813) 449-1966
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
114003
FL
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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