Individual
ILENE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1301 S INTERNATIONAL PKWY STE 2011, LAKE MARY, FL 32746-1411
(407) 774-9880
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3724
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117961
FL
Other
Enumeration date
10/09/2023
Last updated
12/16/2024
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