Basic Information
Provider Information
NPI: 1043547748
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGAN
FirstName: RITA
MiddleName: GAYE
NamePrefix: MS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6041 SW 54TH ST
Address2: STE 200
City: OCALA
State: FL
PostalCode: 344745521
CountryCode: US
TelephoneNumber: 3525670188
FaxNumber: 8133555101
Practice Location
Address1: 6719 GALL BLVD STE 207
Address2:  
City: ZEPHYRHILLS
State: FL
PostalCode: 335422569
CountryCode: US
TelephoneNumber: 8137821147
FaxNumber: 8133555056
Other Information
ProviderEnumerationDate: 11/17/2009
LastUpdateDate: 04/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN11002464FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XR875890MSY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LP0808XAPRN11002464FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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