Basic Information
| Provider Information | |||||||||
| NPI: | 1104181775 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COURTY | ||||||||
| FirstName: | MORGAN | ||||||||
| MiddleName: | PAUL | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 36TH ST | ||||||||
| Address2: | |||||||||
| City: | VERO BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329604862 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7725815581 | ||||||||
| FaxNumber: | 7725815781 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 WELLNESS WAY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SEBASTIAN | ||||||||
| State: | FL | ||||||||
| PostalCode: | 329583783 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7725815581 | ||||||||
| FaxNumber: | 7725815781 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2012 | ||||||||
| LastUpdateDate: | 12/05/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS12815 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.