| Edmund William Mcgrath Jr, MD | |
|
1411 S 14th St Ste D, Fernandina Beach, FL 32034-3092 | |
| (904) 321-0064 | |
| (904) 491-3113 |
| Full Name | Edmund William Mcgrath Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1411 S 14th St Ste D, Fernandina Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376505313 | NPI | - | NPPES |
| 036485100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME50062 (Florida) | Primary |
| Entity Name | Womens Care Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
| Entity Name | Womens' Health Hospitalists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354 |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund William Mcgrath Jr, MD Po Box 25317, Tampa, FL 33622-5317 Ph: (813) 286-0033 | Edmund William Mcgrath Jr, MD 1411 S 14th St Ste D, Fernandina Beach, FL 32034-3092 Ph: (904) 321-0064 |
Mrs. Agata Nelson, LM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 910 S 8th St, Suite 100, Fernandina Beach, FL 32034 Phone: 904-875-4278 Fax: 904-572-1571 | |
Dr. Jesse Seth Greenblum, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1411 S 14th St, Suite B, Fernandina Beach, FL 32034 Phone: 904-261-5605 Fax: 904-277-0725 |