Provider Type Icon

MS. MEGHAN ELIZABETH MUCCIGROSSO PA-C NPI 1104265404


NPI Information

NPI: 1104265404
Provider Name: MS. MEGHAN ELIZABETH MUCCIGROSSO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
260 LOOKOUT PL
SUITE 103
MAITLAND, FL
ZIP 32751
Phone: (321) 594-5523
Get Directions

MS. Meghan Elizabeth Muccigrosso, PA-C is a medical physician assistant in Maitland, FL. MS. Meghan Elizabeth Muccigrosso, PA-C NPI is 1104265404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

260 LOOKOUT PL
SUITE 103
MAITLAND, FL
ZIP 32751-485
Phone: (321) 594-5523
Fax: (407) 333-2140

The enumeration date for this NPI number is 6/19/2013 and was last updated on 3/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA9107460FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.