| Michael M. Morgan, D.m.d, Pa | |
|
2140 Lake Eustis Dr Tavares FL 32778-2064 | |
| (352) 742-3500 | |
| (352) 742-0668 |
| Full Name | Michael M. Morgan, D.m.d, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2140 Lake Eustis Dr, Tavares, Florida |
| Authorized Official Name and Position | Michael Maynes Morgan (OWNER) |
| Authorized Official Contact | 3527423500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael M. Morgan, D.m.d, Pa 2140 Lake Eustis Dr Tavares FL 32778-2064 Ph: (352) 742-3500 | Michael M. Morgan, D.m.d, Pa 2140 Lake Eustis Dr Tavares FL 32778-2064 Ph: (352) 742-3500 |
| NPI Number | 1508207408 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 07/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508207408 | NPI | - | NPPES |
| 073182000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN11130 (Florida) | Primary |
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