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Individual

DR. RANDALL C MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2750 BAHIA VISTA STREET, SUITE 100, SARASOTA, FL 34239
(941) 951-2663
(941) 360-2233
Mailing address
2750 BAHIA VISTA STREET, SUITE 100, SARASOTA, FL 34239
(941) 951-2663
(941) 360-2233

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME86466
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201891461
TAX ID
FL
05
272196100
FL
01
64050
BCBS
FL
Enumeration date
09/08/2005
Last updated
07/02/2013
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