Individual
DR. MELISSA ANNE MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11945 SAN JOSE BLVD STE 301, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32223-1627
(904) 260-9699
(904) 260-9695
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME86224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277922600
—
FL
01
—
57790
BLUECROSS/BLUESHIELD
FL
01
—
P00464683
RR MEDICARE
FL
Enumeration date
11/22/2005
Last updated
12/28/2018
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