Organization
MORGAN DERMPATH LABS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERSON DAVIS MORGAN M.D. (MEDICAL DIRECTOR)
(561) 575-1788
Entity
Organization
Contact information
Practice address
801 MAPLEWOOD DRIVE, SUITE 5, JUPITER, FL 33458-8800
(561) 575-1788
(561) 575-1789
Mailing address
801 MAPLEWOOD DRIVE, SUITE 5, JUPITER, FL 33458-8800
(561) 575-1788
(561) 575-1789
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800022993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AJ717
PTAN
FL
Enumeration date
04/01/2008
Last updated
01/14/2015
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