Provider Demographics
NPI:1801816087
Name:MORGAN, FLOYD (RPT)
Entity Type:Individual
Prefix:MR
First Name:FLOYD
Middle Name:
Last Name:MORGAN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13020 N TELECOM PKWY
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0925
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:727-520-0313
Practice Address - Street 1:35095 US 19 N STE 111W
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-2686
Practice Address - Country:US
Practice Address - Phone:727-475-5530
Practice Address - Fax:844-213-8986
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 8607225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT8607OtherPT LICENSE
FLY5232ZMedicare ID - Type Unspecified