Provider Demographics
NPI:1811647662
Name:MCGOVERN-POORE, MARGARET ANN (DO)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:MCGOVERN-POORE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4291 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-2061
Mailing Address - Country:US
Mailing Address - Phone:904-598-1888
Mailing Address - Fax:904-244-7388
Practice Address - Street 1:4291 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-2061
Practice Address - Country:US
Practice Address - Phone:904-598-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-25
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS22479207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine