Provider Demographics
NPI:1568126761
Name:MORGIC LLC
Entity Type:Organization
Organization Name:MORGIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IFEANYICHUKWU
Authorized Official - Middle Name:M
Authorized Official - Last Name:UBOCHI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:407-924-5080
Mailing Address - Street 1:1437 PLUMGRASS CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5720
Mailing Address - Country:US
Mailing Address - Phone:407-924-5080
Mailing Address - Fax:
Practice Address - Street 1:1000 EXECUTIVE DR STE 2
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-8140
Practice Address - Country:US
Practice Address - Phone:407-924-5080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service