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NPI Code Detail

MEDICARE: DR. MICHAEL I MARGOLIS DO

MEDICARE: DR. MICHAEL I MARGOLIS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine PhysicianOS0004288FL
2207Q00000XFamily Medicine PhysicianOS0004288FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
182384OTHERBCBS
2171831OTHERJMH
3001969OTHERFLNHP
43709520-006OTHERCIGNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6082539OTHERAETNA
782384OTHERFLBLUE CROSS
8E32228OTHERFLSUMMIT
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10E32228OTHERFLVISTA HEALTH PLAN

General Provider Information

NPI Number : 1346204203
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL I MARGOLIS DO
Provider Business Mailing Address
First Line : 4510 SHERIDAN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3516
Country : US
Telephone Number : 954-893-8900
Fax Number : 954-893-8992
Provider Business Practice Location Address
First Line : 4510 SHERIDAN ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-3516
Country : US
Telephone Number : 954-893-8900
Fax Number : 954-893-8992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 03/26/2021

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Directions to “ DR. MICHAEL I MARGOLIS DO” Practice Location

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