Organization Active NPI

Morton & Brown LLC

  • Medical Specialty Clinic/Center
  • Lakeland, FL
National Provider Identifier
1770909160
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MA65750 Issued in FL
Legal business name
MORTON & BROWN LLC
Practice address
3625 S Florida Ave
Lakeland, FL 33803-4864
Phone
(863) 443-3168
NPI assigned
Mar 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tifani Megan Revels Lee, LMT
Title
Ceo,LMT
Phone
(863) 443-3168

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MA74492 FL
Medical Specialty Clinic/Center 261QM2500X MA65750 FL Primary

Addresses

Primary practice location

3625 S Florida Ave
Lakeland, FL 33803-4864

Mailing address

2445 W Haviland Rd
Avon Park, FL 33825-8352
Phone (863) 443-3168

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1770909160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 W HAVILAND RD",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338258352",
            "telephone_number": "863-443-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034864",
            "telephone_number": "863-443-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTON & BROWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "REVELS LEE",
        "authorized_official_first_name": "TIFANI",
        "authorized_official_middle_name": "MEGAN",
        "authorized_official_title_or_position": "CEO,LMT",
        "authorized_official_telephone_number": "863-443-3168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "MA74492",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "MA65750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.