Bagwell, Megan

Bagwell, Megan is an individual health care provider with primary practice located at 500 Health Blvd , Daytona Beach FL 32114-1492. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bagwell, Megan can be contacted via phone (386) 252-5858.

Contact Information

Primary practice address
500 Health Blvd Daytona Beach FL 32114-1492
Fax: (386) 252-4477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 119869 Florida

Profile Details

NPI number 1558682435
LBN Legal business name Bagwell, Megan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Oct 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558682435 NPPES
Florida MEDICAID 012360900

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