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NPI Code Detail

MEDICARE: MICHAEL MAGILL

MEDICARE:   MICHAEL  MAGILL
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
11041C0700XClinical Social WorkerSW15569FL

General Provider Information

NPI Number : 1982288528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL MAGILL
Provider Business Mailing Address
First Line : 5704 SW LONGSPUR LN
Second Line :
City : PALM CITY
State : FL
Zip : 34990-8833
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5704 SW LONGSPUR LN
Second Line :
City : PALM CITY
State : FL
Zip : 34990-8833
Country : US
Telephone Number : 727-534-5086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2021
Last Update Date : 05/10/2021

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Directions to “ MICHAEL MAGILL ” Practice Location

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