Healthcare Provider Details

I. General information

NPI: 1952603169
Provider Name (Legal Business Name): MICHAEL C MARGULIES MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 11/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8940 N KENDALL DR STE 704E
MIAMI FL
33176-2100
US

IV. Provider business mailing address

8940 N KENDALL DR STE 704E
MIAMI FL
33176-2100
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-0393
  • Fax: 305-595-0911
Mailing address:
  • Phone: 305-595-0393
  • Fax: 305-595-0911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0023176
License Number StateFL

VIII. Authorized Official

Name: MICHAEL C MARGULIES
Title or Position: OWNER
Credential: MD
Phone: 305-595-0393