Provider Demographics
NPI:1013796895
Name:CARUSO, MORGAN R (RPHT)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:R
Last Name:CARUSO
Suffix:
Gender:F
Credentials:RPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 SPRING OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-7312
Mailing Address - Country:US
Mailing Address - Phone:407-617-6870
Mailing Address - Fax:
Practice Address - Street 1:330 S ORLANDO AVE
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5606
Practice Address - Country:US
Practice Address - Phone:407-629-4669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-21
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT116754183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician