Morgan, Melissa Anne

Morgan, Melissa Anne is an individual health care provider with primary practice located at 11945 San Jose Blvd Ste 301 Credentialing Department, Jacksonville FL 32223-1627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Morgan, Melissa Anne can be contacted via phone (904) 260-9699.

Contact Information

Primary practice address
11945 San Jose Blvd Ste 301 Credentialing Department Jacksonville FL 32223-1627
Fax: (904) 260-9695
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME86224 Florida

Profile Details

NPI number 1821071903
LBN Legal business name Morgan, Melissa Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821071903 NPPES
Florida MEDICAID 277922600
Florida Other 57790
Florida Other P00464683

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