Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 82706 | GA |
N | 207N00000X | Dermatologist | OS16586 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | 82706 | GA |
Y | 207ND0101X | MOHS-Micrographic Surgeon | OS16586 | FL |
NPI | 1194101840 |
---|---|
Provider Name | Dr. Sean Mcgregor |
First Address | Palm Beach Gardens, FL 33410-4543 |
Second Address | Port St Lucie, FL 34952-7582 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2015 |
Last Update Date | 24/08/2020 |