Individual
CALEB DAVID MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(941) 745-7286
Mailing address
206 2ND ST E, BRADENTON, FL 34208-1042
(904) 226-2184
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS16603
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/08/2018
Last updated
05/06/2021
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