Healthcare Provider Details

I. General information

NPI: 1831801216
Provider Name (Legal Business Name): MARGARET G MCGONIGLE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13141 SPRING HILL DR
SPRING HILL FL
34609-5016
US

IV. Provider business mailing address

PO BOX 20494
TAMPA FL
33622-0494
US

V. Phone/Fax

Practice location:
  • Phone: 352-515-0025
  • Fax: 813-406-4691
Mailing address:
  • Phone: 352-515-0025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11023552
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: