MEDICARE: DAVID S MARGOLIS MD PA

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	208600000X	Surgery Physician
2	2086S0127X	Trauma Surgery Physician

General Provider Information

NPI Number	:	1689841710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID S MARGOLIS MD PA

Provider Business Mailing Address
First Line	:	9980 CENTRAL PARK BLVD N STE 314
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1704
Country	:	US
Telephone Number	:	561-488-3113
Fax Number	:	561-488-2398

Provider Business Practice Location Address
First Line	:	9980 CENTRAL PARK BLVD N STE 314
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1704
Country	:	US
Telephone Number	:	561-488-3113
Fax Number	:	561-488-2398

Authorized Official
Title or Position	:	PHYSICIAN/OWNER
Name	:	DAVID S MARGOLIS
Credential	:	MD
Telephone Number	:	561-488-3113

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	06/02/2021

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