Individual
JOHN T MACGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
220 N SYKES CREEK PKWY STE 301, MERRITT ISLAND, FL 32953-3490
(321) 868-7222
(321) 361-5543
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 868-7222
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ID610Z
MEDICARE
FL
Enumeration date
11/10/2005
Last updated
01/22/2020
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