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NPI Code Detail

MEDICARE: PALM ARBOR RESIDENCE OF MARGATE

MEDICARE: PALM ARBOR RESIDENCE OF MARGATE
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
13104A0625XAssisted Living Facility (Mental Illness)

General Provider Information

NPI Number : 1528909603
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM ARBOR RESIDENCE OF MARGATE
Provider Business Mailing Address
First Line : 6093 NW 9TH CT
Second Line :
City : MARGATE
State : FL
Zip : 33063-3661
Country : US
Telephone Number : 954-972-5600
Fax Number :
Provider Business Practice Location Address
First Line : 6093 NW 9TH CT
Second Line :
City : MARGATE
State : FL
Zip : 33063-3661
Country : US
Telephone Number : 954-972-5600
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR/OWNER
Name : DONNALIA DELIAZAR
Credential :
Telephone Number : 954-461-8059
Provider Enumeration Date : 04/02/2026
Last Update Date : 04/02/2026

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Directions to “PALM ARBOR RESIDENCE OF MARGATE ” Practice Location

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