MEDICARE: MIGNON METCALF MD, MPH

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	208M00000X	Hospitalist Physician	ME109576	FL
2	207R00000X	Internal Medicine Physician	ME109576	FL

General Provider Information

NPI Number	:	1568638369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGNON METCALF MD, MPH

Provider Business Mailing Address
First Line	:	1411 N FLAGLER DR STE 5000
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3410
Country	:	US
Telephone Number	:	561-623-7955
Fax Number	:	561-264-8233

Provider Business Practice Location Address
First Line	:	1411 N FLAGLER DR STE 5000
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3410
Country	:	US
Telephone Number	:	561-623-7955
Fax Number	:	561-264-8233

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

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	03/17/2023

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