Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | F11170421 | FL |
Y | 207RI0011X | Interventional Cardiology | F11170421 | FL |
NPI | 1427565340 |
---|---|
Provider Name | Mrs. Morgan Jones |
First Address | Brandon, FL 33511-7790 |
Second Address | Zephyrhills, FL 33540-1384 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2017 |
Last Update Date | 30/12/2017 |