MEDICARE: MEGAN TAYLOR FORGACS

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1740985373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN TAYLOR FORGACS

Provider Business Mailing Address
First Line	:	236 PONTE VEDRA PARK DR STE 300
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-6619
Country	:	US
Telephone Number	:	904-280-3440
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 PONTE VEDRA PARK DR STE 300
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32082-6619
Country	:	US
Telephone Number	:	904-280-3440
Fax Number	:

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

Provider Enumeration Date	:	04/03/2023
Last Update Date	:	12/30/2023

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