Provider Demographics
NPI:1285940247
Name:MORTON PLANT MEASE HOSPITAL
Entity type:Organization
Organization Name:MORTON PLANT MEASE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:KURSAY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CHT
Authorized Official - Phone:727-462-7237
Mailing Address - Street 1:2369 VANDERBILT DR
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-1434
Mailing Address - Country:US
Mailing Address - Phone:727-726-1886
Mailing Address - Fax:
Practice Address - Street 1:430 MORTON PLANT ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3398
Practice Address - Country:US
Practice Address - Phone:727-462-7237
Practice Address - Fax:727-461-8924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2744282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital