Provider Demographics
NPI:1417583956
Name:WILLIAM F MCGROGAN MD PLLC
Entity Type:Organization
Organization Name:WILLIAM F MCGROGAN MD PLLC
Other - Org Name:MCGROGAN CONCIERGE MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MCGROGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-443-1426
Mailing Address - Street 1:2919 W SWANN AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4083
Mailing Address - Country:US
Mailing Address - Phone:813-443-1426
Mailing Address - Fax:
Practice Address - Street 1:2919 W SWANN AVE STE 402
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4083
Practice Address - Country:US
Practice Address - Phone:813-443-1426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-17
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty