Individual
JENNIFER L. MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1540 S TAMIAMI TRL, SUITE 303, SARASOTA, FL 34239
(941) 917-8791
(941) 917-8793
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291880300
—
FL
01
—
Y04N8
BCBS
FL
Enumeration date
06/28/2006
Last updated
06/18/2018
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