Healthcare Provider Details

I. General information

NPI: 1326603499
Provider Name (Legal Business Name): MEGAN NOHELANI MCGUIRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2019
Last Update Date: 06/18/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 W ATLANTIC AVE
DELRAY BEACH FL
33445-4431
US

IV. Provider business mailing address

7000 SW 62ND AVE STE 401
SOUTH MIAMI FL
33143-4721
US

V. Phone/Fax

Practice location:
  • Phone: 754-206-1877
  • Fax:
Mailing address:
  • Phone: 305-284-7783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberME158756
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: