Individual provider Active NPI

William Baker Galegor II, PA-C (MPAS)

  • Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1235331349
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9112974 Issued in FL
Practice address
Nmrtc Jacksonville 2080 Child Street
Jacksonville, FL 32214-2575
Phone
(904) 542-7300
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9112974 FL Primary

Addresses

Primary practice location

Nmrtc Jacksonville 2080 Child Street
Jacksonville, FL 32214-2575

Mailing address

7030 Butterfield CT
Jacksonville, FL 32258-5518
Phone (860) 389-5508

Other practice location 1

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Phone (352) 265-0301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260205003088 FL Practitioner - Physician Assistant 0446620231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

303 N Clyde Morris Blvd
Halifax Health
Daytona Beach, FL 32114-2709
Phone (386) 425-4000

311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9112974FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jan 30, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 30, 2026 Accepting new patients

Locations

311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1235331349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 BUTTERFIELD CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585518",
            "telephone_number": "860-389-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NMRTC JACKSONVILLE 2080 CHILD STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322142575",
            "telephone_number": "904-542-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142781",
            "country_code": "US",
            "telephone_number": "352-265-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALEGOR",
        "first_name": "WILLIAM",
        "middle_name": "BAKER",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C (MPAS)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9112974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.