MEDICARE: WILLIAM F MCGROGAN MD PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1417583956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM F MCGROGAN MD PLLC

Provider Business Mailing Address
First Line	:	2919 W SWANN AVE STE 402
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4083
Country	:	US
Telephone Number	:	813-443-1426
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 W SWANN AVE STE 402
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4083
Country	:	US
Telephone Number	:	813-443-1426
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM FRANCIS MCGROGAN
Credential	:	MD
Telephone Number	:	813-443-1426

Provider Enumeration Date	:	03/17/2020
Last Update Date	:	06/11/2020

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