Provider Demographics
NPI:1598773244
Name:MORGAN, COURTNEY RICARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:RICARDO
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10380 SW VILLAGE CENTER DRIVE
Mailing Address - Street 2:SUITE 156
Mailing Address - City:PORT ST. LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987
Mailing Address - Country:US
Mailing Address - Phone:305-773-3744
Mailing Address - Fax:844-840-8030
Practice Address - Street 1:2722 NE 1ST STREET
Practice Address - Street 2:SUITE 2
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062
Practice Address - Country:US
Practice Address - Phone:305-615-5670
Practice Address - Fax:844-840-8030
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2022-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPMC1827208VP0000X
TXM8195207Q00000X
CA129554207Q00000X
NY270876207Q00000X
FLME 96210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine