Organization
MORTON PLANT HEALTH SERVICES INC
Active
Other names
Bardmoor Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COURIS (VP OPERATIONS)
(727) 462-7746
Entity
Organization
Contact information
Practice address
8787 BRYAN DAIRY RD, LARGO, FL 33777-1251
(727) 394-5900
Mailing address
PO BOX 404841, ATLANTA, GA 30384-4841
(813) 852-3272
(813) 852-3244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0636592-04
—
FL
Enumeration date
07/15/2008
Last updated
07/15/2008
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