MEDICARE: FRANCINE MARGOLIN II

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	224Z00000X	Occupational Therapy Assistant	OTA 13473	FL

General Provider Information

NPI Number	:	1720494933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCINE MARGOLIN II

Provider Business Mailing Address
First Line	:	14631 SAFE LANDING CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-4932
Country	:	US
Telephone Number	:	239-565-5969
Fax Number	:	239-432-9631

Provider Business Practice Location Address
First Line	:	14631 SAFE LANDING CT
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-4932
Country	:	US
Telephone Number	:	239-565-5969
Fax Number	:	239-432-9631

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

Provider Enumeration Date	:	07/08/2014
Last Update Date	:	07/08/2014

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Directions to “ FRANCINE MARGOLIN II ” Practice Location

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