Provider Demographics
NPI:1396862850
Name:MORCATE, CHRISTY ELAINE (LMT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:ELAINE
Last Name:MORCATE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 GAME FARM RD
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-7030
Mailing Address - Country:US
Mailing Address - Phone:850-832-3021
Mailing Address - Fax:850-215-8398
Practice Address - Street 1:2101 NORTHSIDE DR
Practice Address - Street 2:SUITE 402
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3685
Practice Address - Country:US
Practice Address - Phone:850-215-8397
Practice Address - Fax:850-215-8398
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA39018174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC2531OtherBCBS FL PROVIDER NUMBER