MEDICARE: MARGARETTE LOUINE

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	247100000X	Radiologic Technologist	CRT64216	FL

General Provider Information

NPI Number	:	1669720710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARETTE LOUINE

Provider Business Mailing Address
First Line	:	9498 S MILITARY TRL
Second Line	:	UNIT 5
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-2919
Country	:	US
Telephone Number	:	561-704-4925
Fax Number	:

Provider Business Practice Location Address
First Line	:	9498 S MILITARY TRL
Second Line	:	UNIT 5
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-2919
Country	:	US
Telephone Number	:	561-704-4925
Fax Number	:

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

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	08/21/2012

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Directions to “ MARGARETTE LOUINE ” Practice Location

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