MEDICARE: WILLIAM F. MCGROGAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	76646	FL
2	207R00000X	Internal Medicine Physician	ME76646	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44449	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093820334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM F. MCGROGAN M.D.

Provider Business Mailing Address
First Line	:	1423 S HOWARD AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3126
Country	:	US
Telephone Number	:	813-443-1426
Fax Number	:	813-280-2881

Provider Business Practice Location Address
First Line	:	1423 S HOWARD AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-3126
Country	:	US
Telephone Number	:	813-443-1426
Fax Number	:	813-280-2881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	09/05/2024

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