Healthcare Provider Details

I. General information

NPI: 1316879158
Provider Name (Legal Business Name): MITCHELL P MAGYAR PHARMD INTERN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16205 S MILITARY TRL
DELRAY BEACH FL
33484-6503
US

IV. Provider business mailing address

14864 ENCLAVE LAKES DR APT C1
DELRAY BEACH FL
33484-8816
US

V. Phone/Fax

Practice location:
  • Phone: 561-495-8331
  • Fax: 561-495-8312
Mailing address:
  • Phone: 954-881-4265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberPSI43184
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: