Healthcare Provider Details

I. General information

NPI: 1225270416
Provider Name (Legal Business Name): ALAN ANDREW MACGILL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALAN A. MACGILL, D.P.M. D.P.M.

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9325 GLADES RD STE 205
BOCA RATON FL
33434-3988
US

IV. Provider business mailing address

1601 CLINT MOORE RD STE 130
BOCA RATON FL
33487-5714
US

V. Phone/Fax

Practice location:
  • Phone: 561-549-9090
  • Fax:
Mailing address:
  • Phone: 561-995-0229
  • Fax: 561-989-0775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO3341
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: