Provider Demographics
NPI:1023032984
Name:MAGRANN, ARTHUR T (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:T
Last Name:MAGRANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 BEE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6303
Mailing Address - Country:US
Mailing Address - Phone:941-951-6800
Mailing Address - Fax:941-929-7773
Practice Address - Street 1:2414 BEE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-6303
Practice Address - Country:US
Practice Address - Phone:941-951-6800
Practice Address - Fax:941-929-7773
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4450207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82500OtherBC/BS
FL82500OtherBC/BS
FL82500Medicare ID - Type UnspecifiedMEDICARE