MEDICARE: JILLIAN MEGARO

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	363A00000X	Physician Assistant	PA4978	MA

General Provider Information

NPI Number	:	1083032874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILLIAN MEGARO

Provider Business Mailing Address
First Line	:	369 WALDOBORO RD
Second Line	:
City	:	BREMEN
State	:	ME
Zip	:	04551-3305
Country	:	US
Telephone Number	:	508-308-8228
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 MADEIRA AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4515
Country	:	US
Telephone Number	:	305-204-7992
Fax Number	:	508-213-3687

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

Provider Enumeration Date	:	03/31/2014
Last Update Date	:	11/25/2025

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Directions to “ JILLIAN MEGARO ” Practice Location

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