MEDICARE: MR. JAMES MICHAEL MAGILL JR. M.D.

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	207ZD0900X	Dermatopathology (Pathology) Physician	TRN6801	FL
2	207ZP0101X	Anatomic Pathology Physician	TRN6801	FL
3	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	TRN6801	FL

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	:	1073682514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES MICHAEL MAGILL JR. M.D.

Provider Business Mailing Address
First Line	:	2516 NW 37TH TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32605-2640
Country	:	US
Telephone Number	:	352-378-7384
Fax Number	:

Provider Business Practice Location Address
First Line	:	4800 SW 35TH DR
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-7686
Country	:	US
Telephone Number	:	352-265-9900
Fax Number	:	352-265-9901

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	09/11/2025

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