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NPI Code Detail

MEDICARE: MARGARET MACMILLAN D.O.

MEDICARE: MARGARET MACMILLAN D.O.
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
1207R00000XInternal Medicine PhysicianOS 10694FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2149QPOTHERBCBS

General Provider Information

NPI Number : 1265682462
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET MACMILLAN D.O.
Provider Business Mailing Address
First Line : 3190 SUNTREE BLVD.
Second Line : SUITE 101
City : ROCKLEDGE
State : FL
Zip : 32955-5741
Country : US
Telephone Number : 321-253-2206
Fax Number : 321-610-7599
Provider Business Practice Location Address
First Line : 3190 SUNTREE BLVD.
Second Line : SUITE 101
City : ROCKLEDGE
State : FL
Zip : 32955-5741
Country : US
Telephone Number : 321-253-2206
Fax Number : 321-610-7599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2008
Last Update Date : 09/15/2011

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