Provider Demographics
NPI:1407937600
Name:MORGAN, TRESCIANA ACKINA (MD)
Entity Type:Individual
Prefix:DR
First Name:TRESCIANA
Middle Name:ACKINA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7000W CAMINO REAL 210
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5532
Mailing Address - Country:US
Mailing Address - Phone:561-609-2365
Mailing Address - Fax:561-609-2437
Practice Address - Street 1:7000W CAMINO REAL 210
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5532
Practice Address - Country:US
Practice Address - Phone:561-609-2365
Practice Address - Fax:561-609-2437
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2015-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME106035207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRES000Medicare UPIN