Individual
MORGAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16709 KAMALIN CT, CLERMONT, FL 34715-9519
(352) 989-0576
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G57608
CA
208000000X
Pediatrics Physician
Primary
ME129312
FL
208D00000X
General Practice Physician
G57608
CA
208D00000X
General Practice Physician
ME129312
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019353800
—
FL
Enumeration date
11/24/2006
Last updated
03/21/2018
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