Healthcare Provider Details

I. General information

NPI: 1922454842
Provider Name (Legal Business Name): SAMANTHA L MARGULIES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7243 DELLA DR STE H
ORLANDO FL
32819-5106
US

IV. Provider business mailing address

7243 DELLA DR STE H
ORLANDO FL
32819-5106
US

V. Phone/Fax

Practice location:
  • Phone: 407-253-7878
  • Fax: 321-842-4809
Mailing address:
  • Phone: 407-253-7878
  • Fax: 321-842-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2019-02634
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberME161066
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: