Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME153203 | FL |
N | 208200000X | Surgeon | MT204402 | PA |
N | 208600000X | Surgeon | MT204402 | PA |
NPI | 1497098859 |
---|---|
Provider Name | Dr. Megan Erin Reilly |
First Address | Gainesville, FL 32607-2245 |
Second Address | Gainesville, FL 32607-2245 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 05/01/2022 |