MEDICARE: MARGALIE KANZKI

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
1	104100000X	Social Worker
2	104100000X	Social Worker		FL

General Provider Information

NPI Number	:	1508247297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGALIE KANZKI

Provider Business Mailing Address
First Line	:	10217 SW 224TH TER
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33190-1725
Country	:	US
Telephone Number	:	305-546-9679
Fax Number	:

Provider Business Practice Location Address
First Line	:	10387 SW 186TH ST
Second Line	:
City	:	CUTLER BAY
State	:	FL
Zip	:	33157-6824
Country	:	US
Telephone Number	:	305-546-9679
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2015
Last Update Date	:	06/18/2015

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Directions to “ MARGALIE KANZKI ” Practice Location

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