Individual
JONATHAN M MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 S. FT. HARRISON AVE, CLEARWATER, FL 33756
(727) 441-3588
(727) 461-1038
Mailing address
1330 S. FT. HARRISON AVE, CLEARWATER, FL 33756
(727) 441-3588
(727) 461-1038
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME88962
FL
207YS0123X
Facial Plastic Surgery Physician
ME88962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16456
BLUE CROSS BLUE SHIELD
FL
05
—
272894000
—
FL
Enumeration date
07/18/2006
Last updated
05/04/2016
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