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NPI Code Detail

MEDICARE: MEGAN M NORTHCUTT

MEDICARE: MEGAN M NORTHCUTT
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
1235Z00000XSpeech-Language PathologistSA12162FL

Other Identifiers

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

General Provider Information

NPI Number : 1376804765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN M NORTHCUTT
Provider Business Mailing Address
First Line : 14701 BARTRAM PARK BLVD UNIT 1017
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-5295
Country : US
Telephone Number : 786-390-3847
Fax Number :
Provider Business Practice Location Address
First Line : 14286 BEACH BLVD STE 34
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32250-1570
Country : US
Telephone Number : 904-345-7510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2012
Last Update Date : 07/21/2022

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Directions to “ MEGAN M NORTHCUTT ” Practice Location

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