Provider Demographics
NPI:1801829171
Name:DR.WILLIAM R. MORGAN , INC.
Entity Type:Organization
Organization Name:DR.WILLIAM R. MORGAN , INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLAIM
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-221-8969
Mailing Address - Street 1:3610 SE FEDERAL HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-4902
Mailing Address - Country:US
Mailing Address - Phone:772-221-8969
Mailing Address - Fax:772-221-8707
Practice Address - Street 1:3610 SE FEDERAL HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-4902
Practice Address - Country:US
Practice Address - Phone:772-221-8969
Practice Address - Fax:772-221-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3810585 00Medicaid
350045265Medicare PIN
FLU62610Medicare UPIN
FL3810585 00Medicaid