Basic Information
Provider Information
NPI: 1861804304
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MOROZE
FirstName: SEAN
MiddleName: P
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4205 BELFORT RD STE 4015
Address2:  
City: JACKSONVILLE
State: FL
PostalCode: 322163623
CountryCode: US
TelephoneNumber: 9044506014
FaxNumber: 9044506401
Practice Location
Address1: 4121 W HIGHWAY 98
Address2:  
City: PANAMA CITY
State: FL
PostalCode: 324011170
CountryCode: US
TelephoneNumber: 8509147060
FaxNumber: 8509147065
Other Information
ProviderEnumerationDate: 06/02/2014
LastUpdateDate: 12/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X0101259266VAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000XME141855FLY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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