Healthcare Provider Details

I. General information

NPI: 1598861502
Provider Name (Legal Business Name): MARGARET A MCGRATH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5045 CARPENTER CREEK DR
PENSACOLA FL
32503-2521
US

IV. Provider business mailing address

4205 BELFORT RD STE 4015
JACKSONVILLE FL
32216-3623
US

V. Phone/Fax

Practice location:
  • Phone: 850-416-2400
  • Fax: 850-416-2467
Mailing address:
  • Phone: 904-450-6063
  • Fax: 904-450-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME142703
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: