| Morningstar Medical Group | |
|
262 Halloran St Port Charlotte FL 33953-3600 | |
| (941) 223-2695 | |
| Not Available |
| Full Name | Morningstar Medical Group |
|---|---|
| Speciality | Clinic/center |
| Location | 262 Halloran St, Port Charlotte, Florida |
| Authorized Official Name and Position | Brandy Hauser (OWNER) |
| Authorized Official Contact | 9412232695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morningstar Medical Group 262 Halloran St Port Charlotte FL 33953-3600 Ph: (941) 223-2695 | Morningstar Medical Group 262 Halloran St Port Charlotte FL 33953-3600 Ph: (941) 223-2695 |
| NPI Number | 1124865571 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124865571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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