MEDICARE: DR. JEANNE M MCGREGOR M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME53684	FL
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	ME53684	FL
3	202C00000X	Independent Medical Examiner Physician	ME53684	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	08183Z	OTHER	FL	MEDICARE FL BC/BS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063436277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEANNE M MCGREGOR M.D., M.P.H.

Provider Business Mailing Address
First Line	:	1605 THONOTOSASSA RD
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4251
Country	:	US
Telephone Number	:	813-707-0200
Fax Number	:	813-717-7701

Provider Business Practice Location Address
First Line	:	1605 THONOTOSASSA RD
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4251
Country	:	US
Telephone Number	:	813-707-0200
Fax Number	:	813-717-7701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	02/28/2013

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Directions to “ DR. JEANNE M MCGREGOR M.D., M.P.H.” Practice Location

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