Individual
CRAIG B MORGENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 PRUDENTIAL DR, SUITE 1001, JACKSONVILLE, FL 32207-8334
(904) 398-0033
(904) 398-6774
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME97599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277839400
—
FL
01
—
306906
AVMED
FL
01
—
5850547
CIGNA
FL
01
—
7657775
AETNA
FL
01
—
93691
BLUE CROSS BLUE SHIELD
FL
01
—
P00440983
RAILROAD MEDICARE
—
Enumeration date
06/16/2006
Last updated
07/28/2015
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