Healthcare Provider Details

I. General information

NPI: 1073682514
Provider Name (Legal Business Name): JAMES MICHAEL MAGILL JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SW 35TH DR
GAINESVILLE FL
32608-7686
US

IV. Provider business mailing address

2516 NW 37TH TER
GAINESVILLE FL
32605-2640
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-9900
  • Fax: 352-265-9901
Mailing address:
  • Phone: 352-378-7384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberTRN6801
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberTRN6801
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License NumberTRN6801
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: